[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-045","nurse-115-1-maternal-pediatric-045",115,1,45,"有關腸套疊（intussusception）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"右上腹可觸及香腸狀的腫塊","最常見的型態是接近乙狀結腸崁入直腸內","急性陣發性腹痛、嘔吐、脂肪便為臨床症狀","出現腹膜炎、腸穿孔症狀，須立即施行鋇劑灌腸","A",null,[],"本題考點在腸套疊的典型體徵與診斷治療界線。腸套疊多為近端腸段套入遠端，腫塊沿結腸走向可在右上腹觸及香腸狀團塊，是經典身體評估發現，故選 A。B 錯在最常見型態是迴腸套入結腸，不是乙狀結腸嵌入直腸。C 錯在典型症狀為陣發性劇烈腹痛、嘔吐與果醬狀黏液血便，脂肪便屬脂肪消化吸收不良的表現，不屬本症。D 錯在已出現腹膜炎或腸穿孔時，鋇劑灌腸屬禁忌，因加壓可能使污染擴散，須改行手術處置。","好發於六個月至兩歲，尤其男嬰，機轉為腸段嵌套造成靜脈回流受阻、腸壁水腫，進而缺血壞死；未緩解會演變為腸壞死與腹膜炎。空氣或水溶性顯影劑灌腸兼具診斷與復位功能，復位成功的指標是腹痛緩解與排出正常糞便，復位後仍須觀察是否復發。三大典型記憶「陣發腹痛、香腸狀腫塊、果醬狀血便」。可連結幽門狹窄的橄欖狀腫塊與噴射狀嘔吐作對比。",[24,27,30,32],{"term":25,"count":26},"腸套疊",4,{"term":28,"count":29},"香腸狀腫塊",2,{"term":31,"count":29},"果醬狀血便",{"term":33,"count":10},"鋇劑灌腸禁忌",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-maternal-pediatric-046","小龍，1 歲大，罹患尿道下裂（hypospadias），今入院進行尿道重建手術，剛由手術室返回病房，下列護理措施何者最適當？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-maternal-pediatric-042","林小弟，1 歲 6 個月，護理師使用丹佛Ⅱ發展篩檢測驗林小弟目前的發展情形，下列那一項測驗結果需懷疑林小弟發展有延遲現象？",42,106,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-106-2-maternal-pediatric-056","鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",56,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-014","胡女士子宮頸口全開，護理師協助產婦躺上產檯並準備生產，下列護理措施何者不合適？",14,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-058","有關兒童罹患自閉症會出現的身心表徵，下列何者錯誤？",58,109,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-110-2-maternal-pediatric-012","有關待產婦呼吸技巧之敘述，下列何者錯誤？",12,110,"2026-08-06",1787299089579]