[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-108-2-產兒科護理學-055","nurse-108-2-maternal-pediatric-055",108,2,55,"陳小妹，1 歲半，14 公斤，從火場中被救出，全身 30%的部分皮層燒傷，目前正滴注靜脈輸液，為評估輸液是否適當，陳小妹每小時的尿量應為多少 mL 較適宜？",{"A":14,"B":15,"C":16,"D":17},"6 mL","14 mL","30 mL","60 mL","B",null,[],"本題考點在於燒傷兒童以尿量評估體液復甦是否適當的計算。依小兒燒傷液體復甦的監測指標,幼兒理想每小時尿量約為1 mL\u002Fkg\u002Fhr,以確認腎臟灌流與補液充足。陳小妹體重14公斤,故每小時尿量目標約14 mL,選B。A的6 mL明顯低於1 mL\u002Fkg,提示補液不足或灌流不良;C的30 mL為成人常用的每小時尿量目標(約0.5 mL\u002Fkg對70 kg成人),不適用14 kg幼兒;D的60 mL遠超需求,以此為目標會過度補液。考點在於套用「幼兒尿量1 mL\u002Fkg\u002Fhr」的評估標準。","燒傷復甦以Parkland公式估算輸液量(4 mL×體重kg×%TBSA,前8小時給半量),但輸液是否足夠靠尿量回饋:成人0.5–1 mL\u002Fkg\u002Fhr、兒童1 mL\u002Fkg\u002Fhr、嬰兒可達1–2 mL\u002Fkg\u002Fhr。尿量過少提示補液不足或休克,過多提示過量。兒童體表面積相對大、代謝快,故單位體重需求高於成人。本題以尿量反推適當灌流,是燒傷護理常見的量化評估題。",[24,26,29,31,33],{"term":25,"count":10},"Parkland公式",{"term":27,"count":28},"小兒燒傷復甦",1,{"term":30,"count":28},"尿量評估",{"term":32,"count":28},"1 mL\u002Fkg\u002Fhr",{"term":34,"count":28},"體液灌流",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-056","阿帕嘉評分（Apgar score）是最常用來評估新生兒對子宮外生活立即適應的方法。下列何者不是阿帕嘉評分的計分項目？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-109-1-maternal-pediatric-072","王小妹，5 歲，罹患心房中隔缺損，進行心導管檢查。有關心導管檢查後的護理措施，下列敘述何者正確？",72,109,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-110-1-maternal-pediatric-006","懷孕 32 週婦女接受無壓力性試驗（Nonstress Test; NST）20 分鐘後，未發現胎兒有活動訊號，下列措施何者最適當？",6,110,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-111-1-maternal-pediatric-044","有關新生兒搖晃症候群（Shaken Baby Syndrome）的敘述，下列何者錯誤？",44,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-maternal-pediatric-022","下列那些為重度子癇前症的危險徵候和症狀？①嚴重頭痛 ②視力模糊 ③4 小時尿量為 400 mL ④血清肌酐酸持續下降",22,113,"2026-09-04",1788510707285]