[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":10},"nurse-115-1-產兒科護理學-030","nurse-115-1-maternal-pediatric-030",115,1,30,"有關兒童之健康評估結果，下列敘述何者顯示發展異常？",{"A":14,"B":15,"C":16,"D":17},"出生 3 個月大仍有生理性斜視","1.5 歲已長齊 20 顆乳牙","3 至 4 歲時有膝內翻","4 歲兒童的前囟門已關閉","B",null,[],"本題考點在兒童生長發展常模的判讀。依乳牙萌發時程,乳牙約六個月開始長出,一歲半時多為十二至十六顆,要到二歲半至三歲才長齊二十顆,因此一歲半即已長齊二十顆明顯偏離常模,屬異常發現,故選 B。A 屬正常,三個月嬰兒眼外肌協調與雙眼融像尚未成熟,間歇性生理性斜視可見,約四至六個月後應逐漸消失。C 相對可接受,學步期的膝內翻多歸為生理性彎曲,約二至三歲後會轉為生理性膝外翻,三至四歲仍明顯內翻雖已接近需追蹤的界線,但配對上不如 B 的時程錯置明確。D 屬正常,前囟門約在一歲至一歲半關閉,四歲已關閉符合預期。","乳牙顆數的快速估算法:月齡減六約等於顆數,適用於約兩歲前,例如十二個月約六顆、十八個月約十二顆,總數二十顆通常在二歲半至三歲完成。下肢生理曲線的演變順序要記牢:出生至學步期呈輕度膝內翻,約兩歲前後逐漸拉直,三至四歲轉為生理性膝外翻,學齡期再回到接近正常對線;若膝內翻在三歲後仍持續、單側出現或伴隨身材矮小,臨床上會納入 Blount 病或維生素 D 缺乏性佝僂症的鑑別。囟門對照:後囟門約兩個月關閉,前囟門約十二至十八個月關閉;過早關閉須考慮顱骨早閉,過晚關閉須考慮佝僂症、甲狀腺功能低下或水腦。可延伸複習:生理性斜視與內斜視的區辨、頭圍與身長的生長曲線判讀。",[24,26,28,30,32],{"term":25,"count":10},"乳牙萌發時程",{"term":27,"count":10},"前囟門關閉時間",{"term":29,"count":10},"生理性斜視",{"term":31,"count":10},"膝內翻與膝外翻生理曲線",{"term":33,"count":10},"生長發展常模",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-maternal-pediatric-031","強強，1 歲 6 個月大，第一次接觸托嬰中心的陌生環境及教保員就大哭大鬧，雖然由固定的教保員照顧，但仍需花費較長的時間才能安穩。有關強強的氣質敘述，下列何者正確？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-maternal-pediatric-027","新生兒出生 5 分鐘時，護理師評估 Apgar score，除評估心跳、呼吸、膚色及刺激反射外，尚須評估新生兒的那一部分？",27,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-maternal-pediatric-041","兒科護理師的角色和功能，下列敘述何者錯誤？",41,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-107-2-maternal-pediatric-079","有關重症肌無力（myasthenia gravis）病童的臨床症狀，下列何者錯誤？",79,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-maternal-pediatric-077","周小弟，12 歲，因打球跌倒導致右側脛腓骨骨折，已上石膏住院治療，下列護理措施何者錯誤？",77,110,"2026-08-06",1787299089443]