[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-061":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":26},"nurse-110-2-產兒科護理學-061","nurse-110-2-maternal-pediatric-061",110,2,61,"有關氣喘病童使用吸入型氣喘藥物，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用定量噴霧吸入劑（metered dose inhaler）時，應告訴病童閉氣 5～10 秒鐘","乾粉吸入劑型（dry powder inhaler），建議適用於 5 歲以上之氣喘病童","定量噴霧吸入劑（metered dose inhaler）的優點為劑量及副作用比口服少","建議小於 10 歲兒童，使用定量噴霧吸入劑時併用面罩式吸藥輔助器（aerochamber）","D",null,[],"本題考點是兒童氣喘吸入型藥物的正確使用。考點在於依年齡選擇合適的吸入裝置與輔助器。選項D敘述「小於10歲兒童使用定量噴霧吸入劑時併用面罩式輔助器」有誤：面罩式吸藥輔助器(aerochamber with mask)主要適用於無法配合口含吹嘴的幼童(約4–5歲以下)，較大兒童應改用口含式吹嘴，以「小於10歲」一概併用面罩並不正確，故為答案。A使用後閉氣5–10秒讓藥物沉降於肺部，正確；B乾粉吸入劑需足夠吸氣流速，建議5歲以上使用，正確；C定量噴霧吸入劑屬局部給藥，副作用比口服少，正確。","吸入裝置依配合度分齡:嬰幼兒用MDI加輔助艙+面罩;學齡前後可改口含吹嘴;乾粉吸入劑(DPI)靠病童主動快速深吸產生氣流，故需約5歲以上且能配合。閉氣5–10秒使氣霧微粒沉積於下呼吸道。記憶:小小孩面罩、大小孩吹嘴、DPI靠自己用力吸。可連結:短效乙二型交感神經興奮劑(SABA)為急性緩解、吸入型類固醇(ICS)為長期控制;用ICS後漱口以防口腔念珠菌。",[24,27,29,31],{"term":25,"count":26},"定量噴霧吸入劑",1,{"term":28,"count":26},"乾粉吸入劑",{"term":30,"count":26},"吸藥輔助器",{"term":32,"count":26},"年齡選擇裝置",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-062","小玲，9 歲，於扁桃腺切除術（tonsillectomy）後，用手指著傷口並抱怨傷口疼痛，下列護理措施何者最適當？",62,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-maternal-pediatric-078","小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",78,111,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-112-1-maternal-pediatric-012","陰道分娩過程中，胎盤以暗紅色的粗糙面被牽引出陰道。有關此胎盤娩出的敘述，下列何者正確？ ①希氏法（Schultze mechanism）娩出 ②鄧氏法（Duncan mechanism）娩出 ③較容易發生剝離不完全 ④較少發生剝離不完全",12,112,{"webId":49,"stem":50,"number":51,"year":47,"session":52},"nurse-112-3-maternal-pediatric-050","有關罹患無菌性腦膜炎（aseptic meningitis）病童之腦脊髓液，下列敘述何者正確？",50,3,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-004","懷孕 10 週婦女，以超音波評估胎兒大小，下列測量部位何者最適當？",4,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-048","有關小兒急性腸胃炎（acute gastroenteritis）臨床表徵之敘述，下列何者錯誤？",48,115,"2026-09-04",1788510730188]