[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-1-產兒科護理學-017","nurse-115-1-maternal-pediatric-017",115,1,17,"有關新生兒頭顱血腫（cephalohematoma）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可能引發生理性黃疸","可能為單側或雙側","通常與顱頂骨與骨膜間血管破裂有關","通常於出生當時最明顯，隨後逐漸變小","D",null,[],"本題考點是新生兒頭顱血腫與產傷性水腫的區辨。依頭顱血腫的形成機轉,血液積聚在顱骨與骨膜之間需要時間累積,通常出生後 24 至 48 小時才逐漸明顯,之後在數週至數月間慢慢吸收,故 D 敘述「出生當時最明顯、隨後逐漸變小」錯誤,那是產傷性水腫(caput succedaneum)的特徵。A 正確,積血被吸收分解後紅血球破壞使膽紅素負荷增加,可加重生理性黃疸。B 正確,可為單側或雙側,但因受骨膜附著範圍限制,腫塊不會越過骨縫。C 正確,成因是顱頂骨與骨膜之間的血管在產程受壓或器械協助生產時破裂出血。","三種新生兒頭部腫塊的對比表值得背熟。產傷性水腫位於頭皮組織的皮下水腫,可越過骨縫,出生時最明顯,數天內消退,壓下有凹陷感。頭顱血腫位於骨膜下,不越過骨縫,出生後 24 至 48 小時才明顯,吸收需數週至數月,觸感較有波動性。帽狀腱膜下出血(subgaleal hemorrhage)則在帽狀腱膜與骨膜之間,腔隙大且可越過骨縫,能容納大量血液而導致失血性休克與凝血異常,是三者中唯一具生命威脅者,常與真空吸引生產有關,評估重點是頭圍變化、心跳與血色素。臨床設計此考點的用意在於:護理師必須用「是否越過骨縫」與「何時最明顯」兩個線索快速分流,並預期頭顱血腫個案後續的黃疸監測需求。可延伸複習:生理性黃疸的出現時間(足月兒約出生 24 小時後、第 3 至 5 天達高峰)與病理性黃疸的判斷指標。",[24,27,29,31,33],{"term":25,"count":26},"生理性黃疸",6,{"term":28,"count":10},"頭顱血腫",{"term":30,"count":10},"產傷性水腫",{"term":32,"count":10},"骨膜下出血不越骨縫",{"term":34,"count":10},"帽狀腱膜下出血",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-018","有關正常新生兒的呼吸特徵，下列何者錯誤？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-maternal-pediatric-014","胎兒以面產式，胎頭完全仰伸進入骨盆時，呈現的徑線為下列何者？",14,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-maternal-pediatric-028","有關新生兒呼吸系統之敘述，下列何者錯誤？",28,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-maternal-pediatric-066","綺綺，3 歲，罹患急性白血病，近日因出現疼痛問題而住院，有關疼痛評估的敘述，下列何者正確？",66,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-1-maternal-pediatric-030","有關新生兒毒性紅斑與膿疱之敘述，下列何者正確？",30,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-1-maternal-pediatric-064","王小妹，6 個月大，有關心導管檢查前的準備，下列敘述何者適當？",64,110,"2026-08-06",1787299089317]