[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-106-2-產兒科護理學-064","nurse-106-2-maternal-pediatric-064",106,2,64,"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？",{"A":14,"B":15,"C":16,"D":17},"哭泣後出現發紺","皮膚彈性減少呈黃色","鞏膜因血管之鼓大呈灰色","嘴唇口腔黏膜呈現暗藍色","B",null,[],"本題考點在法洛氏四重畸形(TOF)缺氧發作(blue spells\u002Ftet spells)的臨床表徵,採反向題。缺氧發作是右到左分流突然增加造成急性發紺,表現為哭鬧\u002F用力後發紺加深(A)、嘴唇口腔黏膜暗藍(D 中央型發紺),鞏膜\u002F黏膜因缺氧與血管充血變色(C)。B『皮膚彈性減少呈黃色』描述的是脫水或黃疸表現,與缺氧發紺無關,不屬缺氧發作表徵,選 B。缺氧發作核心是『藍』(發紺)而非『黃』;皮膚彈性與膚色泛黃屬別的問題。","TOF 四特徵:肺動脈狹窄、心室中膈缺損、主動脈跨位、右心室肥厚。缺氧發作機轉:哭鬧\u002F用力\u002F晨起時右心室流出道痙攣或體循環阻力下降,使右到左分流劇增→急性缺氧發紺。急救採『膝胸臥位(knee-chest position)』增加體循環阻力、減少右到左分流。中央型發紺看嘴唇與黏膜(反映動脈血氧),周邊型看四肢末梢。記憶:『缺氧發作=藍、蹲、膝胸位』;黃色泛皮膚是脫水\u002F黃疸的混淆選項。",[24,26,29,31],{"term":25,"count":10},"右到左分流",{"term":27,"count":28},"法洛氏四重畸形(TOF)",1,{"term":30,"count":28},"缺氧發作(tet spells)",{"term":32,"count":28},"中央型發紺",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-065","小華，5 歲，罹患大血管轉位（transposition of the great arteries;TGA），此次入院準備接受完全矯正手術。基於小華在心臟方面的認知，護理師應採取以下何種解釋方式較為適當？",65,{"webId":39,"stem":40,"number":28,"year":41,"session":10},"nurse-107-2-maternal-pediatric-001","依我國「人工生殖法」規定，下列何者錯誤？",107,{"webId":43,"stem":44,"number":45,"year":46,"session":28},"nurse-108-1-maternal-pediatric-015","王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",15,108,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-maternal-pediatric-053","小明，3 歲，被機車撞倒，頭部受傷，有關腦壓增高的早期臨床表徵，不包括下列何者？",53,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-maternal-pediatric-017","蔡女士第一胎，子宮收縮每 2 分鐘一次，每次持續 60 秒，收縮強度為中度，子宮頸口開 8 公分，突然自然破水，羊水呈棕綠色，無晚期減速或變異性減速的情形。此時最優先的護理措施為何？",17,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-051","有關兒童遊戲發展的敘述，下列何者錯誤？",51,111,"2026-09-04",1788510699696]