[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-3-產兒科護理學-050","nurse-113-3-maternal-pediatric-050",113,3,50,"有關單側性發展性髖關節發育不良（developmental hip dysplasia, DDH）病童的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病童的臀部及大腿皮膚皺褶左右不對稱","患肢單腿站立時，健肢髖部的高度會向下傾斜","仰臥，將髖部曲折成 90 度時，健肢膝部會降低","患肢腿屈曲做外展運動時，會出現卡嗒（click）聲","C",null,[],"本題考點在於單側發展性髖關節發育不良（DDH）的臨床表徵。本題為反向題，錯誤敘述為 C。依 Galeazzi 徵象，仰臥並將雙側髖與膝屈曲成 90 度時，患側因股骨頭脫位使大腿相對縮短，患肢膝部會「降低」；健肢膝部應較高，故 C 稱「健肢膝部會降低」錯誤。A 患側臀部與大腿皮膚皺褶左右不對稱，正確；B 患肢單腿站立時骨盆穩定不足，健側骨盆向下傾斜（Trendelenburg 徵象），正確；D 患肢屈曲外展時股骨頭復位可聞卡嗒聲（Ortolani 徵象），正確。判斷關鍵在於 Galeazzi 徵象患側膝低的方向。","DDH 因股骨頭與髖臼發育不良或脫位所致。理學檢查含 Ortolani（外展時股骨頭復位的彈跳感）、Barlow（內收時誘發脫位）、Galeazzi（雙膝高度不等）、皮膚皺褶不對稱與外展受限。治療隨年齡：嬰兒用 Pavlik 吊帶維持外展屈曲，較大兒童可能需閉合復位加人字型石膏。早期發現與治療是預後關鍵。",[24,27,29,32],{"term":25,"count":26},"發展性髖關節發育不良 DDH",2,{"term":28,"count":26},"Galeazzi 徵象",{"term":30,"count":31},"Ortolani 徵象",1,{"term":33,"count":31},"Trendelenburg 徵象",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":31,"year":38,"session":31},"nurse-114-1-maternal-pediatric-001","有關婦嬰生命統計資料的敘述，下列何者錯誤？",114,{"webId":40,"stem":41,"number":42,"year":38,"session":26},"nurse-114-2-maternal-pediatric-047","關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",47,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-115-1-maternal-pediatric-041","陳小妹，10 個月，診斷缺鐵性貧血（iron deficiency anemia），醫囑開立口服鐵劑，下列護理指導何者正確？",41,115,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-maternal-pediatric-059","下列那一種對象是接種麻疹、腮腺炎、德國麻疹混合疫苗（MMR）的禁忌者？",59,106,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-108-1-maternal-pediatric-023","有關產後正常紅惡露（lochia rubra）的護理指導，下列何者正確？",23,108,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-109-1-maternal-pediatric-057","小春，國中 3 年級，1 年前被診斷罹患青少年憂鬱症，曾服用 fluoxetine 及 ativan 治療。最近因會考在即，課業壓力導致失眠，情緒常常不穩定，今在家忽然情緒失控，故至醫院求治，醫師表示可能憂鬱症再發，需再服藥治療。母親詢問護理師應該要怎麼做對小春最好，下列回答何者為佳？",57,109,"2026-09-04",1788510753411]