[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-107-1-產兒科護理學-070","nurse-107-1-maternal-pediatric-070",107,1,70,"小虹，1 歲 2 個月，因細支氣管發炎住院，聽診下肺葉痰音重，醫師囑予 combivent 蒸氣吸入，及執行胸腔物理治療（CPT）。有關胸腔物理治療注意事項，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"採用頭低腳高的姿位，進行叩擊","宜在飯前或飯後 30 分鐘執行","每次執行時間約 5 分鐘","脊椎突出處宜加強叩擊，以利痰液流出","A",null,[],"本題考點是兒童胸腔物理治療(CPT)的執行注意事項。依姿位引流(postural drainage)原理,須依痰液積聚肺葉採頭低腳高姿位,使該部位高於氣管、藉重力引流,再配合叩擊鬆動分泌物,故 A 正確。選項 B 錯誤:CPT 應於『飯前或飯後 1 至 2 小時』執行,飯後 30 分鐘過近易引發嘔吐吸入。選項 C 錯誤:每次約需 20 至 30 分鐘,僅 5 分鐘不足引流。選項 D 錯誤:叩擊應避開脊椎、胸骨、腎臟、乳房,脊椎突出處『不可』加強叩擊以免受傷。關鍵在頭低腳高引流與避開骨突。","CPT 三要素:姿位引流(依病灶肺葉擺位使其高於氣道,靠重力排痰)、叩擊(手呈杯狀拍打震鬆分泌物)、震顫。執行原則:1)時間選飯前或餐後 1–2 小時,避免嘔吐吸入;2)叩擊須隔衣或墊薄巾,避開脊椎、胸骨、腎區、乳房與腹部;3)每次約 20–30 分鐘、依需引流多個肺葉;4)完成後鼓勵咳痰或抽吸。搭配 combivent 蒸氣吸入可先鬆解支氣管、稀化痰液,再做 CPT 效果更佳。本題三個錯項分別踩到時間、時長、部位三個安全要點,唯 A 符合重力引流原理。",[24,26,28,30],{"term":25,"count":10},"胸腔物理治療CPT",{"term":27,"count":10},"姿位引流頭低腳高",{"term":29,"count":10},"叩擊避開脊椎骨突",{"term":31,"count":10},"飯前或餐後1至2小時執行",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-071","有關胎血循環的血流方向，下列敘述何者正確？",71,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-007","有關絨毛膜取樣（Chorionic Villus Sampling）之敘述，下列何者錯誤？",7,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-021","劉女士 G 2 P 2 ，陰道生產，產後第 2 天主訴：「我的子宮收縮怎麼這麼痛」，下列何者錯誤？",21,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-059","林小妹 4 歲，常用手抓屁股，疑有蟯蟲感染，將進行透明膠帶試驗（scotch tape test），最合適的蟲卵採集時間為何？",59,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-023","有關使用荷爾蒙藥物或避孕器的敘述，下列何者正確？",23,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-057","人類免疫缺乏病毒（Human Immunodeficiency Virus, HIV）帶原的青少年之護理指導，下列敘述何者錯誤？",57,112,"2026-09-04",1788510703922]