[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-產兒科護理學-063","nurse-106-2-maternal-pediatric-063",106,2,63,"廖小妹，2 個月，罹患心室中膈缺損，因肺炎引發鬱血性心衰竭（congestive heart failure）而入院，下列那一項不屬於鬱血性心衰竭的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"心跳過慢","大量流汗","四肢冰冷","呼吸過速","A",null,[],"本題考點在嬰兒鬱血性心衰竭(CHF)的臨床表徵,採反向題。心衰竭時心輸出量下降,身體代償使交感神經興奮,故典型為心搏『過速』、大量流汗、四肢冰冷、呼吸過速。A『心跳過慢』與代償機轉相反,不屬 CHF 表徵,選 A。B 大量流汗正確:嬰兒常在餵食費力時滿頭大汗。C 四肢冰冷正確:心輸出不足致周邊血管收縮、末梢灌流差。D 呼吸過速正確:左心衰致肺靜脈鬱血、肺水腫而呼吸急促。核心在交感代償=心跳快、冒汗、末梢冷、喘。","嬰兒 CHF 三大徵象群:心輸出不足(心搏過速、末梢冷、脈弱、餵食時冒汗)、肺鬱血(呼吸急促、費力、肺囉音)、體循環鬱血(肝腫大、眼周\u002F下肢水腫)。嬰兒特有線索:餵食耐受差、體重不增、餵奶時大汗與呼吸喘為早期敏感徵象。代償經交感神經與 RAAS 系統,故心跳加速是規律反應。治療:毛地黃(強心)+利尿劑+減後負荷。記憶:『心衰嬰兒=喝奶冒汗喘、末梢冷心跳快』。心跳慢反而要想毛地黃中毒或傳導問題。",[24,27,29,31],{"term":25,"count":26},"鬱血性心衰竭(CHF)",1,{"term":28,"count":26},"交感神經代償(心搏過速)",{"term":30,"count":26},"肺鬱血呼吸過速",{"term":32,"count":26},"嬰兒餵食冒汗徵象",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-064","凱凱，5 歲，罹患法洛氏四重畸形（tetralogy of fallot;TOF），常出現有缺氧發作（blue spells），有關缺氧發作的臨床表徵，不包括下列何者？",64,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-080","有關妥瑞氏症候群（Tourette's syndrome），下列敘述何者正確？",80,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"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":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-052","丁丁，2 歲，診斷為水腦，並接受腦室－腹膜分流術（V-P shunt），現已術後第 5 天，今早丁丁哭鬧不喝奶，測得體溫達 38.2℃、血壓為 100\u002F60 mmHg，有關護理評估，下列何者需優先執行？",52,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-016","李女士 G 1 P 0 ，子宮收縮每 2 分鐘一次，子宮頸口開 9 公分，變薄程度為 90%，先露部位高度為 0，產婦說：「我很痛，我要用力了」，此時的優先護理措施為何？",16,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,111,"2026-09-04",1788510699691]