[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-110-2-產兒科護理學-048","nurse-110-2-maternal-pediatric-048",110,2,48,"有關為 4 歲的兒童進行身體檢查評估時，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"測量耳溫時，應將該兒童的耳朵向下向後拉","測量心尖脈的位置為左鎖骨中線與第五肋間交會點","進行副鼻竇檢查時，首重出生時即存在且發育的額竇","進行呼吸速率評估時，應注意該年齡為腹式呼吸","D",null,[],"本題考點為4歲兒童身體檢查的正確技巧，要選最適當者。依幼兒至學齡前以腹式(橫膈)呼吸為主的生理特點，評估呼吸速率應觀察腹部起伏，故D最適當，選D。3歲以上耳道漸成人化，量耳溫應將耳朵向上向後拉，向下向後是3歲以下嬰幼兒(A錯)；兒童心尖脈在第4肋間鎖骨中線，7歲後才降至第5肋間(B錯)；額竇出生時尚未發育，約6至7歲後才發育，首重的應是出生即存在的上頜竇與篩竇(C錯)。判斷關鍵在幼兒腹式呼吸。","分齡檢查要點：嬰幼兒腹式呼吸，學齡後轉胸式；耳道拉法以3歲為界(以下向下向後、以上向上向後)。鼻竇發育序：上頜竇與篩竇出生即有，額竇約7歲、蝶竇青春期才明顯。心尖位置隨年齡下移。診察順序對幼兒宜由非侵入到侵入，痛與侵入性檢查(耳、口)留最後以減少抗拒。",[24,27,30,32],{"term":25,"count":26},"腹式呼吸",8,{"term":28,"count":29},"耳溫測量拉耳法",1,{"term":31,"count":29},"鼻竇發育",{"term":33,"count":29},"心尖脈位置",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-maternal-pediatric-049","護理師為了讓 2～6 歲病童認為藥杯內藥物減少，將小藥杯改為較大底面積的藥杯，主要是運用兒童尚未發展何種認知概念？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-maternal-pediatric-065","王小弟，心室中膈缺損（VSD），出現充血性心衰竭的症狀，呼吸喘，費力，請問採那個姿勢較舒適？",65,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-maternal-pediatric-079","有關腦性麻痺（cerebral palsy）兒童常見的健康問題，下列敘述何者較不適當？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-maternal-pediatric-037","有關腮腺炎之照護措施，下列敘述何者錯誤？",37,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-114-1-maternal-pediatric-041","有關海洋性貧血兒童使用排鐵劑（deferoxamine）治療，下列敘述何者錯誤？",41,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-maternal-pediatric-035","有關慢性病兒童，提供以家庭為中心之照顧，下列敘述何者較不適當？",35,115,"2026-09-04",1788510730050]