[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-108-2-產兒科護理學-046","nurse-108-2-maternal-pediatric-046",108,2,46,"雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",{"A":14,"B":15,"C":16,"D":17},"減少全身血管的阻力，提高血壓","減少下肢回心血量，增加肺部血流","減少上肢回心血量，增加腦部的血液供應","減少血液循環全身的距離，提高全身循環血量","B",null,[],"本題考點在於法洛氏四重畸形(Tetralogy of Fallot)缺氧發作時膝胸臥式的血液動力學原理。依此病右到左分流的機轉,膝胸臥式使雙下肢屈曲壓向胸腹,一方面減少下肢靜脈回心血量(降低回流至右心的缺氧血),另一方面增加體循環血管阻力(SVR),使右心血液較不易經心室中膈缺損分流至主動脈,轉而被推向肺動脈增加肺血流以獲得氧合,故選B。A、C、D對回心血量方向、循環距離的描述皆不符膝胸臥改善發紺的實際機轉。考點在於理解「增加SVR、減少右到左分流、增加肺血流」的連鎖。","法洛氏四重畸形四特徵:肺動脈狹窄、心室中膈缺損、主動脈跨位、右心室肥大。缺氧發作(tet spell)時因肺血流驟減,血氧驟降。膝胸臥(嬰兒抱成蹲踞姿)提高SVR,使左心壓上升、降低右到左分流,較大兒童會自發蹲踞(squatting)也是同理。記憶:蹲踞\u002F膝胸=夾住下肢→SVR↑→分流↓→肺血流↑→發紺改善。",[24,27,30,32,35],{"term":25,"count":26},"膝胸臥式",4,{"term":28,"count":29},"法洛氏四重畸形",3,{"term":31,"count":10},"右到左分流",{"term":33,"count":34},"體循環血管阻力SVR",1,{"term":36,"count":34},"蹲踞squatting",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-108-2-maternal-pediatric-047","葳葳，5 歲，剛做完右心導管檢查，返回病房後護理師提供的護理措施，下列何者錯誤？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,109,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-109-2-maternal-pediatric-077","有關提供癲癇病童長期服用抗癲癇藥物的護理措施，下列何者錯誤？",77,{"webId":52,"stem":53,"number":54,"year":55,"session":34},"nurse-111-1-maternal-pediatric-035","有關卵巢癌的醫療措施，下列敘述何者錯誤？",35,111,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-112-1-maternal-pediatric-079","有關早產兒腦室內出血，下列護理處置之敘述，何者最適當？",79,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-maternal-pediatric-013","有關產後情緒低落（postpartum blues）的定義及敘述，下列何者正確？",13,113,"2026-09-04",1788510707228]