[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-113-2-產兒科護理學-032","nurse-113-2-maternal-pediatric-032",113,2,32,"有關新生兒身體評估結果，下列何者需進一步追蹤評估？",{"A":14,"B":15,"C":16,"D":17},"出生身長 45～55 公分","出生頭圍 40～42 公分","新生兒兩眼瞳孔間距 3.5～4 公分","視力範圍 20 公分（8 英吋）以內","B",null,[],"本題考點在於新生兒身體評估的正常值判讀，屬反向題，須找出「需進一步追蹤」的異常項目。異常為 B：足月新生兒正常頭圍約 33–35 公分（約 32–37 公分），選項 40–42 公分明顯過大，需追蹤是否有水腦或其他異常，故為正解。A 正常，足月新生兒出生身長約 45–55 公分（平均約 50 公分）。C 正常，新生兒兩眼瞳孔間距約 3.5–4 公分屬正常範圍，過寬才需注意眼距過寬（hypertelorism）。D 正常，新生兒視力焦距約在 20 公分（8 吋）以內最清楚，符合其視覺發展特性。本題須熟記新生兒各項生理測量的正常值，尤其頭圍正常約 33–35 公分，才能辨識 40–42 公分為異常。","足月新生兒常模速記：體重約 2500–4000 g（平均 3000–3400 g）、身長約 48–52 cm、頭圍約 33–35 cm、胸圍約 30–33 cm（頭圍通常大於胸圍約 2 cm）。頭圍 40–42 cm 超出常模甚多，須警覺水腦症、巨頭畸形。新生兒視覺焦距固定約 20–30 cm（正好是哺乳時看母親臉的距離），對比強烈的黑白圖形與人臉最能吸引注意。眼距過寬（inner canthal distance 明顯增大）與染色體異常相關。記憶法：頭圍「三十三到三十五」，超過就要查水腦；頭圍與胸圍差約 2 公分為正常。",[24,27,29,31],{"term":25,"count":26},"新生兒正常頭圍33-35cm",1,{"term":28,"count":26},"新生兒身長常模",{"term":30,"count":26},"新生兒視覺焦距20cm",{"term":32,"count":26},"頭圍異常追蹤",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-029","10個月大新生兒進行身體檢查仍會有的反射項目，下列何者最為正確？",29,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-023","產婦產後立即性大出血，必須嚴密監測下列何項情況的發生？",23,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-071","有關接受 Port-A 導管植入病童的護理措施，下列敘述何者錯誤？",71,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-035","正在接受第 2 次腹腔內化學治療的卵巢癌病人，主訴一直覺得噁心，下列回應何者最適當？",35,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-069","下列那一項胸腔物理治療是利用重力原理，使肺內的分泌物，易流至較大的支氣管，以利痰液排除？",69,108,"2026-09-04",1788510755598]