[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-042":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":26},"nurse-107-1-產兒科護理學-042","nurse-107-1-maternal-pediatric-042",107,1,42,"有關燒燙傷之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"72 小時內為急救期，需預防休克","以大量水沖洗，並除去未沾黏之衣物","優先給予的輸液為乳酸林格氏液","若三度燒傷面積大於 10%，則為中度燒傷","D",null,[],"本題考點是燒燙傷嚴重度分級與急救原則。依美國燒傷學會分級,三度(全層)燒傷面積大於 10% 已屬「重度燒傷」而非中度,故 D 敘述錯誤,為正解。選項 A 正確:燒傷後 72 小時內屬急救期(休克期),因體液大量滲漏至組織間隙,首要預防低血容性休克。選項 B 正確:以大量清水沖洗降溫,除去未沾黏衣物,沾黏者不可強行撕除以免二次傷害。選項 C 正確:輸液首選乳酸林格氏液,為等張晶體溶液,可補充喪失的細胞外液與電解質。錯項 D 把重度誤植為中度。","嚴重度分級記憶:三度 >10% 或二度 >25%(成人)即重度;二度 10–25% 為中度。休克期輸液依 Parkland formula:4 mL × 體重kg × 燒傷%TBSA,前 8 小時給一半,選乳酸林格氏液正因其滲透壓與血漿相近且含乳酸可代謝為碳酸氫根、緩衝酸中毒。三度燒傷因神經末梢已破壞反而不痛,面積評估用九分法。錯項設計常以「重度\u002F中度」互換、「10%\u002F25%」互換來誘答,記住『三度破十即重度』。",[24,27,29,31],{"term":25,"count":26},"乳酸林格氏液",2,{"term":28,"count":10},"燒傷嚴重度分級",{"term":30,"count":10},"三度燒傷面積>10%為重度",{"term":32,"count":10},"休克期72小時",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-043","陳小妹，2 歲半，在保母家吃飯時，即使弄得到處亂七八糟，仍堅持要自己吃，不要給保母餵，根據艾瑞克森（Erikson）的理論，這個行為表現屬於何種發展任務？",43,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-maternal-pediatric-059","運用感官對事物所得的心像來了解世界，但卻仍不能以質量保留以及長度保留來認知事物，此兒童之認知發展處於：",59,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-073","阿明，1 歲，因罹患急性淋巴性白血症正接受誘導期化學治療。因發燒而追蹤抽血檢查，白血球 100\u002Fmm 3 ，血色素 7.6 g\u002FdL，血小板為 10000\u002Fmm 3 ，下列護理措施何者正確？",73,108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-maternal-pediatric-031","根據臺灣優生保健法施行細則規定，除醫療行為外，人工流產應於幾週內施行？",31,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-2-maternal-pediatric-075","小雄，2 歲，因嘔吐、體溫 38.6℃而入院，母親主訴小雄昨日就開始嘔吐、解水樣綠色便多次，且進食量、尿量明顯減少，體重由 14 公斤降到 13.1 公斤。下列評估何者正確？",75,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-029","正常新生兒出生 4～6 小時內，最主要的能量來源為何？",29,112,"2026-09-04",1788510703669]