[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-078":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-078","nurse-107-1-maternal-pediatric-078",107,1,78,"張小妹，9 個月大，體重原為 9 公斤，因腹瀉入院治療。臨床表徵，體重現為 8.3 公斤、囟門凹陷、皮膚及黏膜乾燥、脈搏增加、少尿，有關脫水程度之評估，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"輕度脫水","中度脫水","重度脫水","極重度脫水","B",null,[],"本題考點在於嬰兒脫水程度的量化評估。依體重變化計算脫水百分比：由 9 公斤降至 8.3 公斤，失重 0.7 公斤，佔原體重約 7.8%。依嬰兒脫水分級，體重減輕 5%～10% 屬中度脫水，且合併囟門凹陷、皮膚黏膜乾燥、脈搏增快、少尿等中度脫水表徵，故選 B。A 輕度脫水對應失重小於 5%，與 7.8% 不符。C 重度脫水對應失重超過 10%，本題未達此程度。D 極重度脫水程度更甚，同樣不符合計算結果，皆排除。","嬰幼兒脫水評估以「急性失重百分比」最客觀（前提是知道病前體重）：嬰兒輕度 \u003C5%、中度 5–10%、重度 >10%（有些教科書以 >15% 為極重度）。臨床徵象隨程度加重：中度出現囟門與眼窩凹陷、黏膜乾、皮膚彈性下降、心跳加快、尿量減少、微血管回充時間延長；重度再加上血壓下降、意識改變、末梢冰冷、休克。之所以用嬰兒的分級標準較寬，是因嬰兒體液佔體重比例高、代償空間小。本題把體重數字給得剛好落在中段（約 8%），就是要考生會算百分比並對應分級，而非只看單一症狀。",[24,27,29,31],{"term":25,"count":26},"脫水程度評估",2,{"term":28,"count":10},"體重減輕百分比",{"term":30,"count":10},"囟門凹陷",{"term":32,"count":10},"少尿與脈搏增快",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-079","王小弟，4 週大，因幽門狹窄（pyloric stenosis）接受幽門切開術（pyloromyotomy）。下列有關護理措施之敘述，何者錯誤？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"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":44,"stem":45,"number":46,"year":42,"session":26},"nurse-108-2-maternal-pediatric-029","有關 HELLP syndrome 的症狀與致病機轉之敘述，下列何者正確？",29,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-maternal-pediatric-067","小漢 8 歲，罹患血友病（hemophilia），下列護理措施何者最適當？",67,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-031","王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",31,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-065","菲菲，2 歲，罹患法洛氏四重症（Tetralogy of Fallot, TOF），出院後仍需每 12 小時服用毛地黃（Digoxin）一次，下列護理指導何者錯誤？",65,112,"2026-09-04",1788510703993]