[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-產兒科護理學-059","nurse-109-1-maternal-pediatric-059",109,1,59,"小英，5 個月，採心尖脈測量心跳，有關心尖脈位置之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"左鎖骨中線與第一、二肋骨的交會處","左鎖骨中線與第三、四肋骨的交會處","左鎖骨中線與第五、六肋骨的交會處","左鎖骨中線與第七、八肋骨的交會處","B",null,[],"本題考點在於嬰幼兒心尖脈（心尖搏動 PMI）的解剖位置。依小兒解剖，嬰幼兒橫膈位置較高、心臟較為橫置，故心尖搏動位置比成人高一個肋間；一般七歲以下兒童的心尖脈落在左鎖骨中線與第四肋間交會處附近，故選項 B「左鎖骨中線與第三、四肋骨交會處」最符合，為正確答案。A 的第一、二肋位置過高，不符任何年齡層心尖位置。C 的第五、六肋交會（即第五肋間左鎖骨中線）是成人與較大兒童的心尖脈位置，對五個月嬰兒而言偏低。D 的第七、八肋更低，明顯過低。故五個月嬰兒應選 B。","對比記憶：成人心尖脈在第五肋間、左鎖骨中線；七歲以下兒童約在第四肋間、鎖骨中線略外側；隨年齡增長橫膈下降，心尖逐漸下移到成人位置。臨床測心尖脈（apical pulse）需聽滿一分鐘，因嬰幼兒心律變異大。PMI 明顯外移可能提示心臟肥大或縱膈腔移位，是心臟評估的觀察點。",[24,26,28,30],{"term":25,"count":10},"心尖搏動 PMI 位置",{"term":27,"count":10},"嬰幼兒橫膈位置較高",{"term":29,"count":10},"左鎖骨中線第四肋間",{"term":31,"count":10},"成人第五肋間",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-060","有關兒童住院壓力，下列敘述何者錯誤？",60,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-076","陳小弟 11 歲，因闌尾炎進行盲腸切除術。有關手術後護理措施，下列敘述何者正確？",76,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-110-2-maternal-pediatric-010","懷孕 30 週婦女，主訴想強化骨盆肌肉群，下列產前運動之建議何者正確？①盤腿坐姿運動 ②凱格爾運動 ③蹲踞運動 ④膝胸臥式運動 ⑤腹肌收縮運動",10,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-048","有關執行兒童生命徵象的測量，下列敘述何者錯誤？",48,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-012","徐女士，G 2 P 1 ，行子宮下段橫式切開剖腹產（Lower segment Cesarean section），採用脊髓麻醉法，下列術後照護何者錯誤？",12,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-006","下列何項血液檢驗值，可以用來篩檢孕婦是否為海洋性貧血帶因者？",6,114,"2026-09-04",1788510713684]