[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-115-2-產兒科護理學-018","nurse-115-2-maternal-pediatric-018",115,2,18,"握住新生兒的大腿並輕輕往下施壓，做內收（adduction）動作，檢查股骨頭在關節內是否有滑脫現象，此為新生兒先天性髖關節脫臼的何種徵象測試？",{"A":14,"B":15,"C":16,"D":17},"歐氏徵象（Ortolani’s sign）","巴氏徵象（Barlow’s sign）","哈氏徵象（Hart’s sign）","古爾氏徵象（Gower’s sign）","B",null,[],"本題考點是先天性髖關節脫臼兩項理學檢查的操作方向差異。依巴氏徵象（Barlow's sign）的定義，檢查時屈曲髖膝、將大腿內收並向下（後方）施壓，測試股骨頭是否能被推離髖臼，屬「可脫位性」測試，題幹描述的內收加向下施壓正是此手法，故選 B。A 錯：歐氏徵象（Ortolani's sign）是屈髖後外展並向上抬，測試已脫位的股骨頭能否復位，會感覺到滑入的喀嚓聲，方向與 Barlow 相反。C 錯：哈氏徵象並非先天性髖關節脫臼的標準檢查名稱。D 錯：古爾氏徵象（Gower's sign）指患者需以雙手撐扶下肢才能由地面站起，屬肌肉失養症的表現。","兩項手法可用方向口訣區分：Barlow 是「內收往下推出去」（dislocate），Ortolani 是「外展往上收回來」（relocate），一推一收互為一組。其他支持性徵象包括兩側大腿皮膚皺褶不對稱、患側下肢外觀較短、外展受限，以及站立行走後的搖擺步態。影像評估在幼小嬰兒以超音波為主，因股骨頭骨化未完成，X 光判讀價值有限。延伸可連結早期以吊帶維持外展屈曲姿勢的治療原理，以及包裹嬰兒時避免下肢併直伸展的照護重點。",[24,27,29,31],{"term":25,"count":26},"Barlow's sign",1,{"term":28,"count":26},"Ortolani's sign",{"term":30,"count":26},"先天性髖關節脫臼",{"term":32,"count":26},"Gower's sign",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-019","有關心臟病婦女妊娠期生活與飲食之注意事項，下列何者正確？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-065","霏霏，2 個月，罹患心房中膈缺損（ Atrial Septal Defect; ASD ），下列護理指導何者不恰當？",65,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-079","小玲，出生 3 天，診斷為脊髓之脊髓膜膨出且合併有水腦症，有關其手術前的護理措施，下列敘述何者錯誤？",79,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-037","有關生殖器疱疹之敘述，下列何者正確？",37,108,{"webId":53,"stem":54,"number":26,"year":55,"session":10},"nurse-109-2-maternal-pediatric-001","護理師於婦女產後經由電話協助母親解決哺乳問題，屬於下列何種角色？",109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-maternal-pediatric-035","鄭女士因骨盆腔炎症入院治療，下列敘述何者正確？",35,110,"2026-08-06",1787299007066]