[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-063":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-110-1-產兒科護理學-063","nurse-110-1-maternal-pediatric-063",110,1,63,"王小弟，2 歲，因肺部的下葉上節有痰液蓄積，護理師為其執行姿位引流，下列姿勢何者最適當？",{"A":14,"B":15,"C":16,"D":17},"俯臥，頭放低 30 度","側臥，頭放低 15 度","側臥，頭放低 30 度","俯臥，頭放低 15 度","D",null,[],"本題考點是姿位引流的擺位原則:要引流哪一肺節,就把該節的支氣管開口擺成朝下,讓痰液順著重力流向大氣道再咳出。下葉上節(superior segment)位於肺臟背側偏上,故須採俯臥,使此節朝上、其開口朝下;因該節位置本就偏高、幾近水平即可引流,只需輕度頭低約15度,不必大幅傾斜,故選D。A俯臥但頭低30度傾斜過大,那是下葉後基底節的引流姿勢,不適用於上節。B、C採側臥,是針對下葉外側基底節等『側區』病灶設計,擺位方向與上節位置不符。","姿位引流的通則是『病灶節段在上、開口向下』。下葉各節可對照記:上節=俯臥近水平;後基底節=俯臥頭低約30度(墊高臀部);外側基底節=健側在下的側臥頭低30度;前基底節=仰臥頭低30度。愈接近肺底的基底節,愈需要大角度頭低(Trendelenburg);愈靠上的節段所需傾斜愈小。兒童執行時傾斜角度與時間都要比成人保守,並避開剛進食後以免嘔吐吸入。記憶口訣:『上節平、基底斜;前仰後俯側對側』。",[24,26,28,30],{"term":25,"count":10},"姿位引流(postural drainage)",{"term":27,"count":10},"下葉上節解剖位置",{"term":29,"count":10},"重力引流原則",{"term":31,"count":10},"俯臥擺位",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-064","王小妹，6 個月大，有關心導管檢查前的準備，下列敘述何者適當？",64,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-080","王小妹，8 個月大，被診斷為熱性痙攣（febrile convulsion），下列敘述何者最適當？",80,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-111-2-maternal-pediatric-014","有關胎兒娩出的過程，當左枕前位（LOA）的胎兒完成內回轉（internal rotation）。此時胎頭與母體骨盆間的關係，下列敘述何者正確？",14,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-052","小凱為 26 週大的早產兒，有關維持早產兒體溫的照護措施，下列敘述何者不適當？",52,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-026","合併唇裂（cleft lip）與腭裂（cleft palate）嬰幼兒之手術前護理措施，下列敘述何者最適當？",26,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-maternal-pediatric-020","張女士，懷孕 32 週，突然感到下腹疼痛，陰道流出暗紅色血液，立即就診，下列何者為最有可能的問題？",20,115,"2026-09-04",1788510722185]