[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-1-產兒科護理學-070","nurse-109-1-maternal-pediatric-070",109,1,70,"張小弟，5 個月大，因呼吸喘、痰液多而入院，診斷為細支氣管炎（Bronchiolitis），入院後需抽痰，有關抽痰護理的敘述下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"抽痰順序宜先由口腔開始，再到鼻腔","抽痰前後宜給予適當的氧氣吸入，以避免缺氧情形","抽吸時間最好維持在 12～15 秒之間，以預防缺氧情形","抽吸壓力維持在 110～130 mmHg","B",null,[],"本題考點在於嬰兒細支氣管炎的抽痰護理原則。依抽痰安全原則，抽吸過程會暫時中斷供氧、易致缺氧，故應於抽痰前後給予適當氧氣，維持血氧，故 B 正確。A 錯在順序，抽痰應先抽較無菌的鼻腔\u002F呼吸道再抽口腔，以避免口腔菌帶入下呼吸道，選項先口腔再鼻腔順序相反。C 錯在抽吸時間，嬰幼兒單次抽吸時間應短（一般不超過五至十秒），十二至十五秒過長易致缺氧與黏膜損傷。D 錯在抽吸壓力，嬰兒抽吸負壓應偏低（約六十至一百 mmHg），一百一十至一百三十 mmHg 壓力過高、恐傷黏膜。故正確為 B。","抽痰安全三要點：時間短、壓力適中、前後給氧。負壓建議值—新生兒約 60–80 mmHg、嬰幼兒約 80–100 mmHg、成人約 100–150 mmHg，壓力越高黏膜損傷風險越大。順序上先抽下呼吸道\u002F鼻腔再抽口腔，遵守由乾淨到污染。細支氣管炎多由呼吸道融合病毒（RSV）引起，痰多喘鳴，抽痰與供氧是維持氣道通暢的重點。",[24,26,28,30,32],{"term":25,"count":10},"抽痰護理原則",{"term":27,"count":10},"前後給氧預防缺氧",{"term":29,"count":10},"抽吸時間短",{"term":31,"count":10},"嬰兒抽吸負壓偏低",{"term":33,"count":10},"細支氣管炎\u002FRSV",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-maternal-pediatric-071","正常情況下，兒童心臟血管的含氧量下列何處最高？",71,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-1-maternal-pediatric-007","懷孕婦女詢問為什麼她臉頰、額頭最近開始出現一些褐色斑點，護理師以下解釋，何者正確？",7,110,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-110-2-maternal-pediatric-021","蔡女士 18 歲，表示：「我都用保險套避孕，前幾天跟我男友發生關係，忘記要用套子，可是我們不想懷孕。」，下列敘述何者最適當？",21,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-111-2-maternal-pediatric-059","有關兒童罹患後天免疫缺乏症候群（acquired immune deficiency syndrome）的敘述，下列何者不適當？",59,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-maternal-pediatric-023","承上題，若配偶亦為海洋性貧血之帶因者，有關胎兒狀況之敘述，下列何者正確？",23,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-1-maternal-pediatric-017","有關預防尿布疹的措施，下列何者最適當？",17,114,"2026-09-04",1788510713809]