[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-019":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-114-3-產兒科護理學-019","nurse-114-3-maternal-pediatric-019",114,3,19,"檢查新生兒是否有髖關節先天發育不良，其檢查方法何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估大腿與臀部皺褶之對稱性，兩側皺褶不對稱為正常現象","執行歐特藍尼操作法（Ortolani’s maneuver），出現「卡答」聲為正常徵象","仰臥時，膝關節呈屈曲狀，有髖關節脫臼或異位的患側股骨會較長","執行巴羅操作法（Barlow’s maneuver），將大腿內收、膝部下壓，股骨頭會在關節囊內滑動，為異常現象","D",null,[],"本題考點在於發展性髖關節發育不良（DDH）的理學檢查判讀。正解 D：巴羅氏操作法（Barlow）將大腿內收並向下加壓，若股骨頭滑出髖臼即為「可脫位」的異常徵象。A 錯，大腿與臀部皺褶「不對稱」是異常表現而非正常；B 錯，歐特藍尼操作法（Ortolani）外展時聽到「卡答」聲，代表脫位的股骨頭被復位，屬異常；C 錯，患側因股骨頭脫位使該側大腿看起來「較短」（Galeazzi 徵象），而非較長。故選 D。","口訣對照：Ortolani＝Out to In（把脫位的頭「復位」回去，感覺卡入）、Barlow＝Back（把可疑的頭「推出去」脫位）。兩者陽性皆為異常。其他徵象：皮膚皺褶不對稱、外展受限、Galeazzi\u002FAllis 徵象（雙膝屈曲時患側膝較低）。早期發現對預後至關重要，超音波為 6 個月內首選影像檢查。",[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},"Barlow 操作法",1,{"term":33,"count":31},"Ortolani 操作法",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-020","有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-maternal-pediatric-016","陳女士，G 3 P 1 SA 2 ，採陰道分娩，會陰 4 度裂傷，出院前詢問：「何時可以恢復性生活？」，下列護理指導何者最適當？",16,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-maternal-pediatric-060","有關嬰兒及兒童接受氧氣治療之相關敘述，下列何者正確？",60,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-018","王女士第一胎，目前子宮頸開 6 公分，當宮縮時，閉眼睛不理人，下列何種護理措施較不適當？",18,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-maternal-pediatric-062","彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",62,108,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-maternal-pediatric-016","入院待產婦裝置體外電子胎兒監測器後，下列何者為第一優先的監測項目？",110,"2026-09-04",1788510762420]