[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-073":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-073","nurse-107-2-maternal-pediatric-073",107,2,73,"陳小弟，8 個月大，體重 7 公斤。心臟手術後第一天，下列何者為異常表徵？",{"A":14,"B":15,"C":16,"D":17},"肛溫 37.2℃","24 小時尿量 60 c.c.","動脈血氧分壓 PaO 2 95 mmHg","兒童葛氏昏迷量表（PGCS）13 分","B",null,[],"本題考點在於嬰兒心臟術後的尿量正常值判讀。嬰兒正常尿量約每公斤每小時 1~2 c.c.;陳小弟 7 公斤,24 小時最低應約 7×1×24=168 c.c.,而 24 小時僅 60 c.c.(約 0.36 c.c.\u002Fkg\u002Fhr)明顯少尿,反映心輸出不足或腎灌流下降,屬異常表徵,選 B。A 肛溫 37.2℃ 屬正常範圍。C 動脈血氧分壓 PaO₂ 95 mmHg 在正常 80~100 mmHg 之間。D 兒童葛氏昏迷量表(PGCS)13 分屬接近清醒的可接受範圍,非異常首要指標。","尿量是評估心輸出量與組織灌流的敏感指標:術後少尿常先於血壓下降出現,提示低心輸出症候群或血容量不足。計算法要記住兒童每公斤每小時 1~2 c.c. 的門檻,並乘上體重與時間換算。PaO₂ 正常值 80~100 mmHg、體溫、意識則屬穩定範圍,對比之下尿量最能反映循環問題,是此題的鑑別重點。",[24,27,29,31],{"term":25,"count":26},"兒童尿量正常值",1,{"term":28,"count":26},"心臟術後低心輸出",{"term":30,"count":26},"組織灌流評估",{"term":32,"count":26},"PaO2 正常值",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-074","有關先天性甲狀腺功能低下嬰幼兒之症狀處理，下列何者錯誤？",74,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-maternal-pediatric-010","李女士在第一產程中破水，下列何者為最優先的措施？",10,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-maternal-pediatric-024","胎盤娩出後，腦下垂體前葉分泌何者使乳房開始分泌乳汁？",24,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-maternal-pediatric-062","有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",62,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-026","齊女士，月經週期規律，擬以安全期法避孕，下列護理師的指導何者正確？",26,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-060","有關嬰幼兒「呼吸系統特徵」之敘述，下列何者最不適當？",60,112,"2026-09-04",1788510726380]