[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-063":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":10},"nurse-110-2-產兒科護理學-063","nurse-110-2-maternal-pediatric-063",110,2,63,"張小妹，5 個月大，因肺部嚴重感染而住院，現有氣管內管留置，呼吸道分泌物黏稠，有關執行抽痰技能與應注意的事項，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"應每小時執行抽痰，以有效排除呼吸道之分泌物","抽痰順序：氣管內管→口腔→鼻腔","抽痰管應在無抽吸壓力狀態下，放置到抽吸部位","抽吸壓力應調在 110～130 mmHg","C",null,[],"本題考點是嬰幼兒抽痰技術的正確執行原則。考點在於減少低血氧與黏膜損傷。選項C「抽痰管在無抽吸壓力狀態下放置到抽吸部位」正確，插入時不加負壓可避免抽走氧氣與傷害黏膜，退出時才間歇施予負壓並旋轉，故為答案。A「每小時常規抽痰」錯誤，應依聽診與分泌物需求評估而非固定頻率，過度抽吸會缺氧與損傷；B抽痰順序應先抽較無菌的氣管內管再抽口鼻，敘述的固定順序與無菌原則不合；D抽吸壓力110–130 mmHg對嬰兒過高，嬰幼兒應調較低壓力以免黏膜損傷。故C最正確。","抽痰要點:先給氧預充氧、無菌技術、插入時不加負壓、每次抽吸不超過約10–15秒、間歇負壓並旋轉退管、監測心律與血氧。壓力分齡:新生兒\u002F嬰兒較低、成人較高，以能有效清除又不傷黏膜為度。順序原則:由乾淨到汙染—先氣管內管(下呼吸道)再上呼吸道。記憶:插管無壓、退管有壓;短而快、給氧護。可連結:過度抽吸致低血氧、心搏過緩(迷走神經反射)、黏膜出血。",[24,26,29,31],{"term":25,"count":10},"無菌原則",{"term":27,"count":28},"抽痰技術",1,{"term":30,"count":28},"無抽吸壓力插入",{"term":32,"count":28},"抽吸壓力分齡",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-064","有關兒童毛地黃（Digoxin）給藥之護理指導，下列敘述何者正確？",64,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-maternal-pediatric-080","張小妹，10 歲，罹患腦膜炎，出現顱內壓增高（Increased intracranial pressure, IICP），下列護理措施何者不適當？",80,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-014","有關胎心率變異性減速的敘述，下列何者正確？",14,112,{"webId":49,"stem":50,"number":10,"year":51,"session":28},"nurse-113-1-maternal-pediatric-002","有關妊娠期血液檢查之敘述，下列何者正確？",113,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-114-2-maternal-pediatric-006","護理師為 32 週的李女士執行無壓力試驗（Non-stress test, NST），結果為 30 分鐘內有 5 次以上胎動，胎心率基準線由 130 bpm 上升至 150 bpm，伴隨每次胎動，胎心率增加 20 次，且持續 20 秒以上，下列何者為其判讀結果？",6,114,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-2-maternal-pediatric-050","小富，17 歲，因左側股骨骨折須以石膏固定，有關小富所需要的護理，下列敘述何者正確？",50,115,"2026-09-04",1788510730208]