[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-114-2-產兒科護理學-002","nurse-114-2-maternal-pediatric-002",114,2,"下列何者為懷孕的確實徵候？",{"A":13,"B":14,"C":15,"D":16},"清晨起床時感到噁心與嘔吐","觸診時有發現子宮峽部變軟","超音波檢查看見妊娠囊","hCG 妊娠試驗呈陽性","C",null,[],"本題考點在於懷孕徵候中確定徵候(positive sign)與可能、推測徵候的區分。依定義,確定徵候須為直接源自胎兒且無法以他因解釋者,超音波檢查看見妊娠囊(進而見胚胎、胎心)屬直接影像證據,故選 C。A 清晨噁心嘔吐屬推測徵候(presumptive),為孕婦主觀感受,他因亦可致。B 子宮峽部變軟即黑加氏徵象(Hegar's sign)屬可能徵候(probable),由檢查者判斷但非胎兒直接證據。D hCG 妊娠試驗陽性亦屬可能徵候,葡萄胎或某些腫瘤也可能陽性。三者皆非確定徵候,唯 C 為胎兒存在的客觀影像證據。","三級徵候記憶:推測(presumptive)多為孕婦主觀,如噁心、乳房脹、疲倦;可能(probable)為檢查者客觀但非胎兒本身,如 Hegar's、Chadwick's、Goodell's 徵象與 hCG;確定(positive)三大項為超音波見胎兒、聽到胎心音、檢查者觸得胎動。只有第三級直接證明胎兒存在。",[23,26,29,31,33],{"term":24,"count":25},"hCG",3,{"term":27,"count":28},"懷孕確定徵候",1,{"term":30,"count":28},"超音波妊娠囊",{"term":32,"count":28},"推測與可能徵候",{"term":34,"count":28},"Hegar's sign",[36,39,43,48,53,58],{"webId":37,"stem":38,"number":25,"year":9,"session":10},"nurse-114-2-maternal-pediatric-003","下列何者是胎兒第一個有功能的器官？",{"webId":40,"stem":41,"number":42,"year":9,"session":25},"nurse-114-3-maternal-pediatric-049","林小妹，15 個月大，疑似腦膜炎住院，有關此疾病之敘述下列何者最適當？",49,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-115-2-maternal-pediatric-043","罹患血友病病童，有關其護理指導，下列敘述何者錯誤？",43,115,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-maternal-pediatric-031","產後婦女使用子宮收縮劑 Methergine 時，須特別留意下列何項生命徵象？",31,107,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-108-1-maternal-pediatric-075","小明，15 歲，因慢性腎衰竭而引發副甲狀腺功能亢進（Hyperparathyroidism），血鈣質為 12 mg\u002FdL，骨骼 X 光顯示脫鈣現象。相關的護理措施，下列何者錯誤？",75,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-029","有關神經系統反射的敘述，下列何者正確？①擁抱反射（moro reflex）是將新生兒突然改變姿勢後，四肢對稱性外展且伸直 ②尋乳反射（rooting reflex）是觸碰新生兒嘴角時出現舌頭伸出的現象，表示新生兒飢餓，應該餵食 ③巴賓斯基反射（Babinski reflex）是以手指自新生兒腳跟沿外側朝趾方向刺激，新生兒腳趾會內縮 ④頸部強直反射（tonic neck reflex）是新生兒平躺時，將頭轉向一側，轉向的那一側手腳會伸展，對側會屈曲狀",29,109,"2026-09-04",1788510759950]