[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-109-1-產兒科護理學-072","nurse-109-1-maternal-pediatric-072",109,1,72,"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？",{"A":14,"B":15,"C":16,"D":17},"右心導管檢查後需臥床 4～6 小時","穿刺肢體保持彎曲，有利止血","檢查後應持續禁食 6 小時，再開始嘗試液體食物","返家後應至少 3 天不要洗澡，避免感染","A",null,[],"本題考點在於兒童心導管檢查後的護理措施。依術後照護原則，心導管檢查後穿刺肢體須伸直、制動並臥床休息一段時間以壓迫止血、預防出血與血腫，一般臥床約四至六小時，故 A 正確。B 錯在肢體彎曲，穿刺肢體應保持伸直，彎曲反而不利壓迫止血、增加出血風險。C 錯在禁食，術後病童清醒、無噁心嘔吐即可漸進恢復進食，不需持續禁食六小時。D 錯在洗澡限制，一般僅需短時間（約二十四小時）保持穿刺部位清潔乾燥、避免弄濕，返家後三天不洗澡過度限制。故正確為 A。","術後觀察要點：穿刺部位出血\u002F血腫、遠端肢體的脈搏、膚色、溫度與感覺（評估血流灌注），並監測生命徵象與心律。伸直制動加壓的目的在於讓動脈或靜脈穿刺點止血。相較外科手術，心導管屬侵入性檢查但恢復快，重點在早期偵測血管併發症與維持水分。臥床時間與制動是常考細節。",[24,27,29,31],{"term":25,"count":26},"心導管術後護理",2,{"term":28,"count":10},"穿刺肢體伸直制動",{"term":30,"count":10},"臥床加壓止血",{"term":32,"count":10},"遠端肢體血流評估",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-073","罹患開放性動脈導管的病童，較不會出現下列何種症狀？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-maternal-pediatric-009","有關胎兒呼吸系統發育，下列敘述何者正確？",9,110,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-110-2-maternal-pediatric-023","婦女於正常陰道生產後的復舊生理變化，下列何者所需時間最長？",23,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-061","有關呼吸道融合病毒（Respiratory Syncytial Virus, RSV）的敘述，下列何者錯誤？",61,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-025","王女士懷孕 12 週時產檢血清檢查確診梅毒感染，其掩面哭泣表示：「不知道為什麼自己會得到梅毒，是否要告訴先生？」，下列護理指導，何者不適當？",25,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-019","採純母乳哺餵之健康新生兒出生體重為3,900公克，出生第三天體重降為3,700公克，父母非常擔憂該新生兒體重降低的狀況，此時最適合的護理指導為何？",19,114,"2026-09-04",1788510713837]