[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-產兒科護理學-046","nurse-110-1-maternal-pediatric-046",110,1,46,"下列何者是造成兒童燒傷急救期（emergent period）休克的主要原因？",{"A":14,"B":15,"C":16,"D":17},"低血量性","壓力性","心因性","敗血性","A",null,[],"本題考點是兒童燒傷急救期（emergent period）休克的主要成因。考點在於連結燒傷病生理與休克類型。依微血管通透性變化，燒傷後大量血漿與體液自血管內滲漏至組織間隙，造成血管內容積驟減，屬低血容性休克，故選 A。B 壓力性並非燒傷急救期休克的主要機轉。C 心因性休克源於心臟幫浦功能失效，與此期病生理不符。D 敗血性休克多見於後期傷口感染階段，並非最初急救期的主因。故正解為 A。","燒傷急救期休克稱為「燒傷休克」，本質為分布性與低血容混合，但主導機轉是微血管通透性增加致血漿外滲、血液濃縮與有效循環容積下降，故歸類低血容性休克，處置以晶體液復甦為核心。時序上，急救期以低血容為主；後期（傷口開放數日後）才轉為感染與敗血性休克風險上升。理解「早期漏水、晚期感染」的時間軸，即可分辨各休克類型出現的階段。",[24,26,28,30],{"term":25,"count":10},"燒傷急救期",{"term":27,"count":10},"低血容性休克",{"term":29,"count":10},"微血管通透性",{"term":31,"count":10},"血漿外滲",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-047","早產兒吸吮力弱，有關使用口胃管灌食的注意事項，下列敘述何者不適當？",47,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-063","張小妹，5 個月大，因肺部嚴重感染而住院，現有氣管內管留置，呼吸道分泌物黏稠，有關執行抽痰技能與應注意的事項，下列敘述何者正確？",63,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-077","妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",77,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-035","承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",35,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",9,113,3,{"webId":59,"stem":60,"number":57,"year":61,"session":10},"nurse-115-1-maternal-pediatric-003","張女士，懷孕期頻繁噁心嘔吐的情況很不舒服，下列護理指導何者較不合適？",115,"2026-09-04",1788510722007]