[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-055","nurse-107-2-maternal-pediatric-055",107,2,55,"陳小妹，2 歲，12 公斤，被人從火場中救出，全身 30%的部分皮層燒傷，至今已過 1 小時，現以靜脈輸液幫浦提供輸液，輸液的速度每小時應為幾 mL？",{"A":14,"B":15,"C":16,"D":17},"60 mL","69 mL","90 mL","103 mL","D",null,[],"本題考點在燒傷兒童以帕克蘭公式(Parkland formula)計算輸液速率並校正已流逝時間。帕克蘭公式為 4 mL × 體重 × 燒傷面積%,即 4×12×30=1440 mL,前 8 小時應給一半即 720 mL。因燒傷至今已過 1 小時,剩餘 720 mL 須於 8 減 1 等於 7 小時內滴完,故每小時 720÷7≈103 mL,選 D。A 60、C 90 未校正已流逝的時間,B 69 非本式計算結果。故正確速率為 D。","Parkland 公式:24 小時總量=4 mL×kg×%TBSA,前 8 小時給總量 1\u002F2、後 16 小時給另 1\u002F2,時間起點為受傷當下而非開始輸液時。故若延遲送醫,前半量須壓縮進「剩餘的前 8 小時」內補足,本題 720÷(8−1)≈103 mL\u002Fhr 即此校正。監測輸液是否足量以尿量為指標(兒童約每公斤每小時 1–2 mL)。提醒:面積僅計部分與全層,表淺紅斑不列入。",[24,27,29,31],{"term":25,"count":26},"Parkland formula",1,{"term":28,"count":26},"燒傷面積百分比",{"term":30,"count":26},"前 8 小時給半量",{"term":32,"count":26},"已流逝時間校正",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-056","小倫，1 個月大，接種 B 型肝炎疫苗。下列何者是適合肌肉注射的部位？",56,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-072","王小弟，5 歲，因心臟病需進行胸骨切開式開心手術。有關傷口換藥的術前心理準備，下列護理措施何者合適？",72,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-maternal-pediatric-006","一位第三孕期婦女，飲食為蛋奶素，有關孕期飲食指導，下列何者錯誤？",6,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-maternal-pediatric-044","小玉，3 歲，體重 15 公斤，誤食外婆包粽子用的鹼水，就醫時意識清楚，下列處置何者最適當？",44,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-042","小澤，8 歲，罹患氣喘，有關促進小澤在學校生活適應，下列敘述何者不適當？",42,112,"2026-09-04",1788510726187]