[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-2-產兒科護理學-065","nurse-110-2-maternal-pediatric-065",110,2,65,"小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"集中護理、安撫小倫情緒，並減少哭泣","避免便秘造成閉氣用力，增加心臟負擔","宜選用柔軟、吸食洞孔稍大的奶嘴餵奶","每次餵食時間不宜太短，應超過 30 分鐘","D",null,[],"本題考點是法洛氏四重畸形(TOF)嬰兒維持組織灌流的護理。考點在於減少耗氧、避免缺氧發作(tet spell)並確保足夠營養。選項D「每次餵食時間應超過30分鐘」不適當，餵食過久會增加耗氧與體力消耗、加重心臟負擔，反而應縮短並分次餵食，故為答案。A集中護理、安撫情緒、減少哭泣，可降低耗氧與避免誘發缺氧發作，正確；B避免便秘閉氣用力(Valsalva)以免增加心臟負擔，正確；C選用柔軟、洞孔稍大的奶嘴讓嬰兒省力吸吮，減少餵食耗氧，正確。三者皆以「省力、減耗氧」為原則，唯D延長餵食時間與此相悖。","TOF四特徵:肺動脈狹窄、心室中膈缺損、主動脈跨位、右心室肥大;右到左分流致發紺。缺氧發作(tet spell)時採膝胸臥位增加體循環阻力、減少右到左分流。護理核心是降低耗氧:安撫防哭鬧、防便秘用力、省力餵食(軟奶嘴、少量多餐、短時)。記憶:TOF怕耗氧與脫水(血液濃稠增血栓);哭鬧、用力、久食都加重缺氧。可連結:蹲踞姿勢是年長患童自發代償動作。",[24,27,29,32],{"term":25,"count":26},"法洛氏四重畸形",3,{"term":28,"count":10},"缺氧發作",{"term":30,"count":31},"耗氧與心臟負擔",1,{"term":33,"count":31},"省力餵食",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-maternal-pediatric-066","30 週早產之男嬰，出生體重 1,500 公克，診斷開放性動脈導管（patent ductus arteriosus），以 Indomethacin 靜脈注射治療，下列敘述何者正確？",66,{"webId":40,"stem":41,"number":10,"year":42,"session":10},"nurse-111-2-maternal-pediatric-002","阮女士，目前懷孕 30 週，飲食偏好辣與冷食，公婆一直抱怨這樣飲食型態對孩子健康不好，下列護理處置，何者較不適當？",111,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-112-1-maternal-pediatric-016","第一產程活動期的待產婦，每 3 分鐘宮縮 1 次，每次持續 45 秒，個案在宮縮的休息期，胎心率為 90 bpm，下列何項護理措施較適當？",16,112,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-113-1-maternal-pediatric-004","王女士，32歲，妊娠8週，前一胎因21對染色體異常引產，詢問此次有關唐氏症篩檢之敘述，下列何者最合適？",4,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-008","王女士，G 1 P 0 ，懷孕 39 週，胎位為 LOA，目前已進入第二產程，胎頭已著冠。此階段，護理師應將杜卜勒（Doppler）置於王女士腹部何處最有機會聽診到清楚的胎心音？",8,114,{"webId":59,"stem":60,"number":10,"year":61,"session":31},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",106,"2026-09-04",1788510730228]