[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-114-2-產兒科護理學-036","nurse-114-2-maternal-pediatric-036",114,2,36,"進行腹部觸診時，發現腹脹且右上腹區可以觸摸到像橄欖樣狀腫塊，可判斷是何種疾病？",{"A":14,"B":15,"C":16,"D":17},"糞便填塞","幽門狹窄","腸套疊","巨結腸症","B",null,[],"本題考點在於嬰兒右上腹橄欖狀腫塊的臨床判讀。依典型表現，肥厚性幽門狹窄因幽門肌肥厚，於右上腹可觸及橄欖狀腫塊並伴進行性噴射狀非膽汁性嘔吐，故選B。A糞便填塞多在左下腹觸及硬塊；C腸套疊典型為右側臘腸狀腫塊合併果醬樣血便；D巨結腸症(Hirschsprung)以腹脹、胎便延遲排出與慢性便秘表現，皆與橄欖狀腫塊不符。","幽門狹窄好發於出生後2至8週男嬰,嘔吐後仍飢餓索食,可見胃蠕動波,超音波見幽門肌肥厚。治療為幽門肌切開術。噴射狀嘔吐、右上腹橄欖狀腫塊、鹼中毒(低血氯低血鉀)是三大線索。",[24,27,29,32],{"term":25,"count":26},"肥厚性幽門狹窄",3,{"term":28,"count":10},"噴射狀嘔吐",{"term":30,"count":31},"橄欖狀腫塊",1,{"term":33,"count":31},"鑑別診斷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-037","小禹，4 歲，罹患腸病毒，現預計出院返家照護，護理師給予父母的居家照護指導，下列何者不適當？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-115-1-maternal-pediatric-033","依據皮亞傑（Piaget）理論，有關兒童對疾病概念之發展，兒童能瞭解疾病乃由器官功能不良造成，下列那一個階段正確？",33,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-maternal-pediatric-027","新生兒出生 5 分鐘時，護理師評估 Apgar score，除評估心跳、呼吸、膚色及刺激反射外，尚須評估新生兒的那一部分？",27,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-1-maternal-pediatric-065","有關病童死亡的護理措施，下列何者正確？",65,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-maternal-pediatric-029","有關 HELLP syndrome 的症狀與致病機轉之敘述，下列何者正確？",29,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-maternal-pediatric-063","有關罹患心臟病嬰兒的護理照護，下列何者最適當？",63,109,"2026-09-04",1788510760247]