[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-060":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-060","nurse-107-1-maternal-pediatric-060",107,1,60,"有關嬰幼兒生命徵象測量的順序，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸→脈搏→體溫","脈搏→呼吸→體溫","脈搏→體溫→呼吸","體溫→呼吸→脈搏","A",null,[],"本題考點是嬰幼兒生命徵象測量的先後順序原則。依『由非侵入到侵入、由不驚擾到會驚擾』的原則,應先測最不干擾且需安靜狀態的呼吸,再測脈搏,最後才測會引起哭鬧的體溫,故順序為呼吸→脈搏→體溫,選 A。因為嬰幼兒一旦哭鬧,呼吸與脈搏會明顯加快而失真,故必須趁其安靜時先完成呼吸與心跳的觀察。選項 B、C 把脈搏排在呼吸之前,雖差異小但不符『先測最易受哭鬧影響的呼吸』原則。選項 D 把體溫排到最前,會先驚擾孩子導致後續呼吸脈搏數據失準,最不適當。核心邏輯就是把最易受情緒影響的項目放最前、最具侵擾性的放最後。","測量順序原則:先做需要安靜合作、且最易受哭鬧干擾的項目(呼吸最敏感,其次脈搏),把會讓孩子不適或哭鬧的侵擾性測量(如肛溫、耳溫)留到最後。臨床技巧:趁嬰兒熟睡或安靜時,先觀察腹式呼吸起伏數呼吸,再觸診心尖脈,最後量體溫。若先量體溫惹哭,呼吸與脈搏都會代償性上升而不準。此原則同樣適用於身體檢查『先聽診後觸診』的邏輯——凡會改變生理數值或引發抗拒的操作都往後排。",[24,27,29,31],{"term":25,"count":26},"生命徵象測量順序",2,{"term":28,"count":10},"呼吸最易受哭鬧影響",{"term":30,"count":10},"由非侵入到侵入原則",{"term":32,"count":10},"嬰幼兒評估技巧",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-061","小玲，5 歲，因疝氣預定接受手術治療，為了減輕其手術的焦慮，下列護理措施何者最適宜？",61,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-maternal-pediatric-077","王小弟，診斷為急性腎衰竭（acute renal failure），下列敘述何者正確？",77,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-2-maternal-pediatric-011","王女士待產時，胎心率之變異性為 6～10 bpm，下列敘述何者正確？",11,108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-maternal-pediatric-049","有關生命末期兒童疼痛評估和照護，下列敘述何者最不適當？",49,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-013","有關待產時裝置胎兒監測器的注意事項，下列何者錯誤？",13,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-047","有關兒童氣質評估之敘述，下列何者正確？",47,112,"2026-09-04",1788510703827]