[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-045":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-107-2-產兒科護理學-045","nurse-107-2-maternal-pediatric-045",107,2,45,"為嬰幼兒進行胸腔物理治療的叩擊（percussion）時，下列何項步驟不適當？",{"A":14,"B":15,"C":16,"D":17},"叩擊宜在姿位引流後執行，以達更佳效果","以手指併攏、弓為杯狀，規律地叩擊胸壁","為達鬆動痰液的較佳效果，可直接拍擊病童裸露的皮膚","每部位的叩擊時間建議約為 1～2 分鐘，可視病童情況而增減","C",null,[],"本題考點在嬰幼兒胸腔叩擊(percussion)的正確技巧與皮膚保護。叩擊時應於病童胸壁覆蓋一層薄布或衣物再拍擊,避免直接拍打裸露皮膚造成紅腫、疼痛與皮膚傷害,故 C「可直接拍擊裸露皮膚」不適當。A 正確,叩擊在姿位引流後執行可加強鬆動已引流至大氣道的痰;B 正確,手指併攏成杯狀可形成氣墊、規律叩擊使震動傳入而不痛;D 正確,每部位叩擊約 1–2 分鐘並依病童耐受度增減。故不適當者為 C。","叩擊靠杯狀手掌捕捉空氣形成氣墊,拍擊時產生震波經胸壁傳入鬆動痰液,聲音應為空心「啵啵」聲而非拍打實聲。禁忌與注意:避開脊椎、胸骨、腎臟與乳房區,覆蓋薄布保護嬌嫩皮膚。順序記憶:引流擺位→叩擊→震顫(呼氣時施行)→清除分泌物。出現發紺、呼吸窘迫、剛進食或有肋骨脆弱、出血傾向時應避免或停止。",[24,27,29,31],{"term":25,"count":26},"胸腔叩擊",1,{"term":28,"count":26},"杯狀手",{"term":30,"count":26},"皮膚保護",{"term":32,"count":26},"叩擊部位禁忌",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-046","鐮狀細胞貧血（sickle cell anemia）病童不會出現下列何項臨床表徵？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-062","有關早產兒在保溫箱中的感官刺激，下列護理措施何者正確？",62,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-076","5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",76,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-maternal-pediatric-034","有關前置胎盤的敘述，下列何者正確？",34,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-maternal-pediatric-078","小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",78,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,112,"2026-09-04",1788510726062]