[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-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":26},"nurse-110-1-產兒科護理學-064","nurse-110-1-maternal-pediatric-064",110,1,64,"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？",{"A":14,"B":15,"C":16,"D":17},"避免測量下肢血壓","確認禁食 4～6 小時","確認鼠蹊部脈搏最強處，標示記號","確認檢查前不宜給鎮靜劑與抗生素","B",null,[],"本題考點是嬰兒心導管檢查前的常規準備。考點在於檢查需在鎮靜或麻醉下進行,為避免嘔吐與吸入的風險,術前須確認禁食,一般禁食約 4～6 小時,故選 B。選項 A 錯在術前反而應測量四肢含下肢血壓作為基準值,以利術後比對肢體循環;C 錯在標記記號的是穿刺處遠端的足背動脈等末梢脈搏,用於術後評估患肢循環,而非鼠蹊部;D 錯在術前通常會給予鎮靜劑協助配合,必要時給預防性抗生素,並非禁用。判斷關鍵在於區分術前基準評估與術後循環監測的目的。","心導管檢查多經股動脈或股靜脈穿刺,術後最需監測的是穿刺遠端肢體循環,因此術前要先建立基準:量四肢血壓、標記並評估足背與脛後動脈脈搏、記錄膚色溫度,術後才有比較依據。禁食是所有需鎮靜或麻醉處置的共通準備,目的在降低嘔吐吸入。記憶對比:術前『先量、先標、先禁食』;術後『壓、看、比』穿刺處止血與遠端循環。可延伸複習先天性心臟病分流方向與導管檢查併發症如出血、血栓、心律不整。",[24,27,29,31],{"term":25,"count":26},"末梢循環評估",2,{"term":28,"count":10},"心導管檢查前準備",{"term":30,"count":10},"禁食",{"term":32,"count":10},"股動脈穿刺",[34,38,42,46,51,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-065","有關病毒性腦膜炎（virus meningitis）的護理措施，下列敘述何者錯誤？",65,{"webId":39,"stem":40,"number":10,"year":41,"session":10},"nurse-111-1-maternal-pediatric-001","有關醫療院所提供以家庭為中心照護之策略，下列敘述何者錯誤？",111,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-111-2-maternal-pediatric-015","根據世界衛生組織（WHO）對無併發症或任何健康問題婦女的待產期照護建議，下列何者正確？",15,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-112-2-maternal-pediatric-053","有關慢性疾病兒童與家庭的照護原則，下列敘述何者不適當？",53,112,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-113-3-maternal-pediatric-027","關於自閉症兒童的敘述，下列何者錯誤？",27,113,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-maternal-pediatric-021","張女士，30 歲，G1P0，妊娠 16 週產檢的血壓量測值為 118\u002F75 mmHg，尿蛋白與尿糖測試均為陰性（-）。妊娠 28 週產檢的血壓值為 140\u002F96 mmHg，間隔四小時再測之血壓值 145\u002F100 mmHg，尿蛋白與尿糖測試均為陰性（-），依據上述相關症狀的敘述，下列何者為張女士最可能之診斷？",21,115,"2026-09-04",1788510722191]