[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-114-1-產兒科護理學-050","nurse-114-1-maternal-pediatric-050",114,1,50,"小美，15個月大，從樓梯跌落導致頭部受傷，急診護理師依據兒童適用之葛氏昏迷量表（Glasgow coma scale, GCS）評估其意識程度，結果顯示叫他時會睜眼，雖會哭泣但可安撫，輕觸其手臂會收縮反應，請問小美的昏迷指數為幾分？",{"A":14,"B":15,"C":16,"D":17},"7分","9分","12分","15分","C",null,[],"本題考點在於兒童版葛氏昏迷量表（GCS）三向度計分。GCS 總分為睜眼（E，1～4）＋語言（V，1～5）＋動作（M，1～6）三項相加。依題意：「叫他時會睜眼」為對聲音刺激睜眼，E＝3；「會哭泣但可安撫」在兒童量表對應語言反應可安撫的哭泣，V＝4；「輕觸手臂會收縮反應」為對疼痛\u002F觸覺的回縮反應，M＝5。三項相加 3＋4＋5＝12 分，故選 C。其餘選項 7、9、15 分皆與此計分不符。","兒童 GCS 語言項改為哭泣與互動評估：V5＝微笑\u002F發聲互動、V4＝哭泣可安撫、V3＝哭泣不易安撫、V2＝呻吟、V1＝無。動作 M6＝自主、M5＝觸碰定位\u002F回縮、M4＝疼痛屈曲回縮。睜眼 E4＝自發、E3＝呼喚睜眼、E2＝疼痛睜眼。本題 E3+V4+M5＝12。GCS ≤8 通常代表需保護呼吸道的重度意識障礙。",[24,27,29,31],{"term":25,"count":26},"意識評估",2,{"term":28,"count":10},"葛氏昏迷量表",{"term":30,"count":10},"兒童 GCS",{"term":32,"count":10},"睜眼語言動作三向度",[34,37,42,47,52,57],{"webId":35,"stem":36,"number":10,"year":9,"session":26},"nurse-114-2-maternal-pediatric-001","下列何者最能反映當代育齡婦女的平均生育力？",{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-maternal-pediatric-047","諾羅病毒（norovirus）引起的急性腸胃炎，下列敘述何者正確？",47,3,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-115-2-maternal-pediatric-041","12 歲病童，診斷為風濕性心臟病（rheumatic heart disease），下列症狀何者較不會出現？",41,115,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-107-1-maternal-pediatric-029","謝女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 8 cm，變薄 80%，高度為+2，已破水。胎兒監測器圖形顯示胎心率下降至 100 bpm，減速的時間與子宮收縮沒一定關係，下列何者為最有可能的情形？",29,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-1-maternal-pediatric-073","阿明，1 歲，因罹患急性淋巴性白血症正接受誘導期化學治療。因發燒而追蹤抽血檢查，白血球 100\u002Fmm 3 ，血色素 7.6 g\u002FdL，血小板為 10000\u002Fmm 3 ，下列護理措施何者正確？",73,108,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-2-maternal-pediatric-027","有關新生兒身體評估結果，下列何者異常？",27,109,"2026-09-04",1788510758086]