[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-109-2-產兒科護理學-064","nurse-109-2-maternal-pediatric-064",109,2,64,"小東 8 個月，診斷為法洛氏四重症（Tetralogy of Fallot），哭鬧厲害全身發紺，此時護理師給予氧氣，並將小東擺為膝胸臥式之目的為何？",{"A":14,"B":15,"C":16,"D":17},"減少回流至心臟之血量","減少全身血管阻力","減少右心室流向肺動脈之血量","減少身體耗氧量","A",null,[],"本題考點在於法洛氏四重症(TOF)缺氧發作時膝胸臥式的生理作用。依循環力學,將病童擺成膝胸臥位使下肢屈曲、減少下肢缺氧靜脈血回流右心,同時壓迫股動脈增加全身血管阻力,共同減少心臟內右至左分流、改善缺氧,官方取其「減少回流至心臟之血量」之效,故選A。B方向相反,膝胸臥位是增加而非減少全身血管阻力;C TOF本就肺血流不足需增加肺血流,非減少;D減少耗氧非其主要機轉,故均非最佳。","TOF缺氧發作處置口訣:膝胸位、給氧、嗎啡鎮靜、必要時給β阻斷劑或去氧腎上腺素增SVR。膝胸位一方面減少下肢靜脈回流,一方面升高SVR,使更多血由右心室導向肺循環增加氧合。年長患童常自發蹲踞(squatting)達同效。此題選項機轉表述於各版本略有爭議,故信心標中。",[24,26,28,30],{"term":25,"count":10},"法洛氏四重症",{"term":27,"count":10},"缺氧發作",{"term":29,"count":10},"膝胸臥位",{"term":31,"count":32},"全身血管阻力與分流",1,[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-065","有關胎血循環的敘述，下列何者錯誤？",65,{"webId":39,"stem":40,"number":32,"year":41,"session":10},"nurse-110-2-maternal-pediatric-001","王女士 30 歲，第一次懷孕，詢問有關人性化生產準備，下列護理師的回應何者較不適當？",110,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-maternal-pediatric-015","有關剖腹產的手術前護理措施，下列何者最適當？",15,111,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-112-1-maternal-pediatric-053","有關早產兒經口餵食的發展照護原則，下列敘述何者錯誤？",53,112,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-113-1-maternal-pediatric-047","有關兒童急性腹瀉時，下列護理處置何者最適當？",47,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-041","有關先天性心臟病病童的藥物護理，下列敘述何者錯誤？",41,114,"2026-09-04",1788510717635]