[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-047":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-107-1-產兒科護理學-047","nurse-107-1-maternal-pediatric-047",107,1,47,"陳小妹，妊娠週數 39 週又 5 天，自然產及使用真空吸引娩出，頭部受到擠壓而嚴重變形，出生體重 3,890 公克，在執行身體評估時觸摸其頭部，發現整個頭皮邊緣有水腫且越過骨縫中線，生命徵象穩定，瞳孔大小及對光反射正常，有關陳小妹頭部的創傷問題，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"產瘤（Caput succedaneum）","水腦（ Hydrocephalus ）","硬腦膜下腔血腫（Subdura hematoma）","顱內出血（Intracranial hematoma）","A",null,[],"本題考點是新生兒產傷中頭皮水腫的鑑別。依產瘤(Caput succedaneum)的定義,它是產程中頭皮受壓迫造成的皮下漿液性水腫,特徵為『可越過骨縫中線』、出生即存在且數日內自行吸收,題幹『頭皮邊緣水腫且越過骨縫中線、生命徵象穩定』完全符合,故選 A。選項 B「水腦」是腦脊髓液堆積使頭圍增大,非局部水腫。選項 C「硬腦膜下腔血腫」與 D「顱內出血」皆為顱內出血性病變,會伴神經學異常,但題幹載瞳孔與對光反射正常,可排除。關鍵在『越過骨縫』。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840741605]