[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-028":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":10},"nurse-110-2-產兒科護理學-028","nurse-110-2-maternal-pediatric-028",110,2,28,"聽診新生兒心跳速率的部位，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"左鎖骨內側第 2 至第 3 肋間交會點","左鎖骨中線第 3 至第 4 肋間交會點","左鎖骨內側第 3 至第 4 肋間交會點","左鎖骨中線第 2 至第 3 肋間交會點","B",null,[],"本題考點為新生兒心尖脈(apical pulse)的聽診定位。依嬰兒心臟位置較橫、橫膈較高的解剖特點，新生兒與嬰兒的心尖搏動位於左鎖骨中線與第3至第4肋間交會點，故選B。A、C將位置定於鎖骨內側，偏離心尖投影；D雖在鎖骨中線但落在第2至第3肋間，位置偏高。成人心尖才下移至左鎖骨中線第5肋間稍內側，勿與新生兒混淆。判斷關鍵在年齡對應的肋間高度與鎖骨中線定位。","心尖位置隨年齡下移與外移：新生兒至4歲約在第4肋間鎖骨中線外側；7歲後接近成人第5肋間鎖骨中線。原因是嬰兒心臟相對較大且橫置，隨胸廓拉長而垂降。測心尖脈需聽滿1分鐘，因新生兒心律不規則且速率快(約120至160次\u002F分)。",[24,26,29,31],{"term":25,"count":10},"心尖脈聽診",{"term":27,"count":28},"鎖骨中線",1,{"term":30,"count":28},"肋間定位",{"term":32,"count":28},"嬰兒心臟位置",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-029","有關新生兒腸胃系統及排泄，下列敘述何者錯誤？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-maternal-pediatric-045","林小弟，1 個月大，剛確診膽道閉鎖，父母正為是否接受手術猶豫不決。根據以家庭為中心的兒科護理特色，下列何者最適當？",45,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-maternal-pediatric-059","有關兒童罹患後天免疫缺乏症候群（acquired immune deficiency syndrome）的敘述，下列何者不適當？",59,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-maternal-pediatric-017","促使新生兒出生後動脈導管功能性關閉的最主要原因為何？",17,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-maternal-pediatric-021","林女士待產時突然主訴腹部呈撕裂性疼痛，護理師評估腹部有一明顯凹陷，無法測到宮縮和胎心音，此情境最可能為？",21,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-015","蔡女士，G 1 P 1 ，新生兒出生體重 3800 公克，產後第二天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。進行哺乳相關資料收集發現，新生兒現在體重 3500 公克，早上 9 點剛換過一次尿片，混雜尿尿及大量墨綠色大便。有關產後住院期間的照護建議，下列何者不適當？",15,115,"2026-09-04",1788510729868]