[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-1-產兒科護理學-012","nurse-108-1-maternal-pediatric-012",108,1,12,"江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",{"A":14,"B":15,"C":16,"D":17},"以鼻導管提供氧氣 2 L\u002Fmin","加快靜脈輸液","鼓勵採取左側臥","教導減慢呼吸速率","D",null,[],"本題考點為待產過度換氣導致呼吸性鹼中毒的優先處置。江女士換氣過度使二氧化碳過度排出、血中二氧化碳分壓下降形成呼吸性鹼中毒，引發暈眩與嘴唇手指麻刺（低血鈣游離增加的感覺異常）；優先措施是教導減慢呼吸速率以回升二氧化碳、矯正鹼中毒，故選 D。選項 A 給氧錯誤且加重問題，病人並非缺氧而是二氧化碳過低，給氧無助。選項 B 加快靜脈輸液錯誤，症狀與體液容積無關。選項 C 左側臥主要用於改善子宮胎盤灌流或仰臥低血壓，對過度換氣的鹼中毒無直接矯正作用。故針對病因，放慢呼吸最為優先。","過度換氣→二氧化碳排除過多→動脈二氧化碳分壓下降、pH 上升＝呼吸性鹼中毒。鹼中毒使血中鈣與白蛋白結合增加、游離鈣下降，故出現口周與肢端麻刺、手足搐搦。矯正原理是提高二氧化碳：放慢呼吸，必要時對紙袋或聚攏雙手重複呼吸自己呼出的二氧化碳。記憶重點：麻刺＋暈眩＋喘＝二氧化碳吹太多，放慢呼吸把它留住。連結概念：呼吸性鹼中毒、游離鈣下降、重複呼吸法。",[24,27,30,32],{"term":25,"count":26},"呼吸性鹼中毒",4,{"term":28,"count":29},"過度換氣",2,{"term":31,"count":10},"游離鈣下降感覺異常",{"term":33,"count":10},"減慢呼吸矯正",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-013","蔡女士第一胎，因待產緊急狀況需進行剖腹產，醫師採用吸入性麻醉藥物進行全身麻醉，下列何者錯誤？",13,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"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":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,109,{"webId":49,"stem":50,"number":10,"year":51,"session":29},"nurse-110-2-maternal-pediatric-001","王女士 30 歲，第一次懷孕，詢問有關人性化生產準備，下列護理師的回應何者較不適當？",110,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-111-2-maternal-pediatric-045","兒童誤食下列那種毒物時，可採用催吐處理？",45,111,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-112-2-maternal-pediatric-079","小琪，5 歲，診斷為中度腦性麻痺（Cerebral Palsy），有咀嚼、吞嚥控制困難問題，有關飲食之居家照顧指導，下列敘述何者錯誤？",79,112,"2026-09-04",1788510710317]