[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-053":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-109-1-產兒科護理學-053","nurse-109-1-maternal-pediatric-053",109,1,53,"小明，3 歲，被機車撞倒，頭部受傷，有關腦壓增高的早期臨床表徵，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"痙攣、頭痛","斜眼、複視","噴射狀嘔吐","瞳孔大小不對稱","D",null,[],"本題考點在於區分顱內壓增高（IICP）的早期與晚期臨床表徵。依 IICP 病生理，早期因腦組織受壓、腦脊髓液循環受阻，會出現頭痛、痙攣、噴射狀嘔吐，以及外展神經（CN VI）受壓造成的斜視、複視。瞳孔大小不對稱（不等）屬於晚期徵象，機轉是腦幹受壓或顳葉鉤回疝（uncal herniation）壓迫動眼神經（CN III），代表腦壓已進一步惡化、可能發生腦疝，故不列入早期表徵，選 D。A 的痙攣、頭痛為腦壓上升早期的皮質刺激症狀。B 的斜眼、複視源自 CN VI 麻痺，屬早期。C 的噴射狀嘔吐因延腦嘔吐中樞受壓，亦為早期典型表現，三者皆早期，唯 D 為晚期惡化徵象。",[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？",6,1783840748310]