[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-053":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":26},"nurse-106-2-產兒科護理學-053","nurse-106-2-maternal-pediatric-053",106,2,53,"小萱，出生兩天的早產兒，曾有幾次呼吸暫停的現象，現在小萱的呼吸暫停警鈴響了，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"以手掌輕揉背部","抽吸小萱的口鼻","提供高濃度氧氣","直接讓小萱俯臥","A",null,[],"本題考點在早產兒呼吸暫停(apnea)的急救處置順序。早產兒呼吸中樞未成熟易發生呼吸暫停,警鈴響時應先以最溫和、非侵入的觸覺刺激喚起呼吸,即輕撫或輕揉背部、足底刺激,多能恢復自主呼吸,選 A。B 抽吸口鼻屬侵入性,且刺激迷走神經反射使心跳更慢,非首選。C 高濃度氧氣會增加早產兒視網膜病變(ROP)與氧中毒風險,不應常規使用。D 直接俯臥無立即刺激效果,未評估即改變姿勢不當。處置階梯為先觸覺刺激,無效再給氧、正壓通氣。","早產兒呼吸暫停定義:呼吸停止 >20 秒,或伴心搏過緩(\u003C100 次\u002F分)與發紺,源於呼吸中樞及化學受器未成熟。處置階梯(由輕到重):觸覺刺激→氧氣\u002F正壓通氣→藥物(caffeine citrate 刺激呼吸中樞)。抽吸會誘發迷走神經致心搏更緩,故非首選。記憶:『先摸再給氧,最後才正壓』。高濃度氧的兩大早產兒風險:ROP(視網膜病變)與 BPD(支氣管肺發育不良)。",[24,27,30,32],{"term":25,"count":26},"迷走神經反射",5,{"term":28,"count":29},"早產兒呼吸暫停(apnea)",1,{"term":31,"count":29},"觸覺刺激急救階梯",{"term":33,"count":29},"早產兒視網膜病變(ROP)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-054","文華，9 歲，罹患淋巴癌末期，目前已轉移至骨頭，主訴右髖骨處很痛，經評估疼痛強度為八分，有關疼痛的護理措施，下列何者較為適當？",54,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-maternal-pediatric-070","小虹，1 歲 2 個月，因細支氣管發炎住院，聽診下肺葉痰音重，醫師囑予 combivent 蒸氣吸入，及執行胸腔物理治療（CPT）。有關胸腔物理治療注意事項，下列何者正確？",70,107,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-108-1-maternal-pediatric-004","懷孕 24 週婦女接受產檢，血壓值：124\u002F80 mmHg、未有水腫，尿液試紙的白蛋白顯現痕跡（trace），下列解釋何者最適當？",4,108,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-109-1-maternal-pediatric-042","依據丹佛 II 嬰幼兒發展篩檢測驗（DDST-II）評估來健兒門診的王小妹，她能自己扣鈕釦、用手指夾葡萄乾、單腳站立 5 秒鐘，王小妹大約是幾歲？",42,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-maternal-pediatric-006","有關妊娠期會陰按摩，下列敘述何者正確？",6,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-040","有關乳癌的護理措施，下列何者正確？",40,111,"2026-09-04",1788510699564]