[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-077","nurse-106-1-maternal-pediatric-077",106,1,77,"小華，7 歲，搭乘母親的摩托車上學途中，被轎車撞傷，頭部嚴重撞傷，轉入兒科加護病房，現昏迷指數 3 分，給予疼痛刺激時，手臂和腳均呈僵直和內轉的姿勢，有關這些症狀及受傷部位的描述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呈現去皮質僵直姿勢，延腦功能異常","呈現去皮質僵直姿勢，腦幹功能異常","呈現去大腦性僵直姿勢，小腦功能異常","呈現去大腦性僵直姿勢，中腦功能異常","D",null,[],"本題考點為異常姿勢與腦部受損部位的對應。依神經學評估,對疼痛刺激出現四肢僵直、伸直內轉的姿勢為去大腦僵直(decerebrate),反映中腦或腦幹上端受損,故D正確。去皮質僵直(decorticate)則為上肢屈曲內收、下肢伸直,病灶在大腦皮質或皮質脊髓徑,故A、B將本題伸直姿勢誤判為去皮質、且部位標為延腦或腦幹皆錯。C雖判為去大腦性僵直,但將部位歸於小腦亦錯,去大腦僵直的損傷在中腦而非小腦。昏迷指數3分合併去大腦姿勢代表腦幹受壓,預後不佳。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734669]