[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-048":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-048","nurse-113-2-maternal-pediatric-048",113,2,48,"小妍，14 歲，被診斷為脊柱側彎（scoliosis），有關疾病特性和臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"彎腰時，雙側背部呈現明顯的突峰","站立時二邊肩膀高度不一","可用 Cobb 氏量角法評估脊柱側彎的嚴重度","骨盆傾斜","A",null,[],"本題考點在於脊柱側彎(scoliosis)的臨床表徵與評估方法。脊柱側彎是脊柱在冠狀面向側偏移並伴隨椎體旋轉。本題為反向題,錯誤敘述為 A:向前彎腰檢查(Adam's forward bend test)時,因椎體旋轉造成肋骨隆起,呈現的是「單側」背部或肋骨隆起(rib hump),而非「雙側明顯突峰」,故 A 描述錯誤、即答案。B 正確:椎體側偏使兩側肩膀與肩胛骨高度不對稱。C 正確:Cobb 氏角(Cobb angle)量測側彎上下端椎的夾角,是判定嚴重度與治療決策的標準工具。D 正確:代償性姿勢會造成骨盆傾斜與雙腿外觀不等長。","側彎的旋轉本質決定了理學表徵:Adam's test 彎腰時,因椎體旋轉把一側肋骨頂高,形成單側 rib hump,這是篩檢重點。Cobb angle 分級:\u003C25° 觀察、25–45° 支架、>45–50° 考慮手術矯正。記憶對比:兩側對稱隆起不是側彎特徵,單側隆起才是;雙側都突反而不符旋轉幾何。",[24,27,29,31],{"term":25,"count":26},"脊柱側彎",1,{"term":28,"count":26},"Adam's forward bend test",{"term":30,"count":26},"Cobb 氏角",{"term":32,"count":26},"椎體旋轉肋骨隆起",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-049","有關嬰幼兒呼吸系統解剖生理特徵，下列何者正確？",49,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-045","有關急性腎絲球腎炎（acute glomerulonephritis）病童的照護措施，下列敘述何者最適當？",45,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-039","小玉，2 歲，因感冒罹患急性中耳炎（acute otitis media）住院治療，其返家之護理照護，下列敘述何者正確？",39,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-2-maternal-pediatric-007","胎兒生理活動評估（Biophysical profile）測試內容中以超音波評估的項目包括那些？",7,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-051","10 歲的阿偉出現發燒、頭痛、頸背僵硬等症狀，經評估有腦膜炎徵象，下列何者不是腦膜炎的徵象？",51,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-1-maternal-pediatric-005","有關胎兒發育之敘述，下列何者錯誤？",5,109,"2026-09-04",1788510755742]