[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-078":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-078","nurse-106-2-maternal-pediatric-078",106,2,78,"小明，7 歲，在練習游泳時，被同學推入泳池中，因溺水而窒息，經救生員急救後，送醫院治療，目前懷疑腦幹及延髓受損，有關小明的呼吸型態，下列何者較可能出現？",{"A":14,"B":15,"C":16,"D":17},"呼吸深且快速（過度換氣型態）","喘息呼吸與暫停呼吸交替出現（陳施氏呼吸）","呼吸偶而會出現深且聽得到嘆息聲（喟嘆式呼吸）","呼吸會出現不規則的穿插呼吸暫停（運動式呼吸）","B",null,[],"本題考點在中樞神經受損部位與異常呼吸型態的對應。依神經生理,腦部與腦幹的呼吸調節受損會出現週期性或不規則呼吸;陳施氏呼吸(Cheyne-Stokes)是呼吸由淺漸深、再漸淺,繼以一段呼吸暫停後反覆循環的週期性型態,反映中樞呼吸調節受損,故本題以B 喘息與暫停交替(陳施氏呼吸)為答。A 深快的過度換氣、C 偶發嘆息式呼吸多非嚴重腦幹病灶的典型表現;D 所述不規則穿插暫停較近共濟失調(Biot)呼吸。須提醒:嚴格的解剖定位中,延髓損傷典型對應共濟失調式呼吸,本題選項配對與教科書分層略有出入,故標medium。","異常呼吸型態與病灶粗略對應:陳施氏呼吸(週期性漸強漸弱+暫停)常見於雙側大腦\u002F間腦或心肺功能不全;中樞神經性過度換氣→中腦\u002F橋腦上段;長吸式(apneustic)→橋腦;共濟失調(Biot,完全不規則)→延髓。臨床上腦幹由上而下受損,呼吸型態常依序惡化直至呼吸停止。本題以「週期性呼吸暫停代表中樞嚴重受損」的概念作答;若以延髓的精準定位,共濟失調式亦有討論空間,作答仍以官方之週期性型態(B)為準,並提醒此為易爭議的神經題。",[24,27,29,31],{"term":25,"count":26},"異常呼吸型態",1,{"term":28,"count":26},"陳施氏呼吸(Cheyne-Stokes)",{"term":30,"count":26},"腦幹\u002F延髓呼吸中樞",{"term":32,"count":26},"共濟失調式呼吸(Biot)",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"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":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-015","陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",15,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-029","有關新生兒皮膚之敘述，下列何者錯誤？",29,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-067","有關兒童疼痛之敘述，下列何者錯誤？",67,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-031","王女士，懷孕 32 週，突然發生陰道出血而入院，醫囑住院安胎。評估個案未覺腹痛，出血呈鮮紅色、量中。護理師的處置與指導，下列何者錯誤？",31,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-065","有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",65,111,"2026-09-04",1788510699835]