[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-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":10},"nurse-107-2-產兒科護理學-042","nurse-107-2-maternal-pediatric-042",107,2,42,"有關瀕死兒童的呼吸與心臟血管生理反應，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"會出現陳施式呼吸或喟嘆式呼吸","喉頭肌肉緊縮，可自行將分泌物咳出","四肢末梢脈搏變弱且不易觸診","皮膚濕冷、蒼白、四肢發紺","B",null,[],"本題考點在瀕死兒童的呼吸與心血管生理變化。瀕死期神經肌肉功能衰退、咳嗽與吞嚥反射喪失,分泌物積聚於咽喉而無法自行咳出,產生瀕死喉音,故 B「喉頭肌肉緊縮、可自行咳出分泌物」敘述錯誤。A 正確,呼吸中樞衰竭會出現陳施式呼吸或喟嘆式呼吸;C 正確,心輸出量下降、周邊灌流不足使四肢末梢脈搏微弱難觸;D 正確,循環衰竭導致皮膚濕冷、蒼白與末梢發紺。故錯誤者為 B。","瀕死循環衰竭順序:心輸出量降低→周邊血管收縮以維持核心灌流→四肢冰冷、發紺、脈弱、斑駁(mottling)。呼吸型態:陳施式呼吸(漸強漸弱交替暫停,反映腦幹調控失常),終末可見喟嘆式\u002F瀕死呼吸。分泌物滯留產生的瀕死喉音,是反射喪失而非能有效清除。護理焦點為舒適照護與家屬陪伴,而非積極清除以免造成不適。",[24,26,29,31],{"term":25,"count":10},"末梢循環衰竭",{"term":27,"count":28},"瀕死生理反應",1,{"term":30,"count":28},"陳施式呼吸",{"term":32,"count":28},"瀕死喉音",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-043","張太太懷孕 30 週，因早期破水產下重 2,400 公克女嬰，其體重與妊娠週數的關係屬於：",43,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-maternal-pediatric-059","小文，6 個月大，被診斷胃食道逆流（Gastroesophageal reflux），下列護理指導何者正確？",59,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-073","近年來由於飲食及生活型態的改變，致使那一類型的問題疾病增加？",73,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-110-1-maternal-pediatric-031","王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",31,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-maternal-pediatric-075","有關先天性巨結腸症的臨床表徵，下列敘述何者錯誤？",75,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-029","使用 New Ballard Score 評估足月兒成熟度與妊娠週數的最佳時間為：",29,112,"2026-09-04",1788510726022]