[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-069":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-069","nurse-110-2-maternal-pediatric-069",110,2,69,"小明，3 歲，罹患神經母細胞瘤，進行第一次化學治療需要裝置人工血管，有關人工血管的敘述，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"Port-A 植入需要由外科醫師於手術室完成","PICC 可由特別訓練護理師執行導管插入","Port-A 每個月需要沖洗一次 10 mL（含 Heparine100 U\u002FmL）生理食鹽水","PICC 是最適合小明化學治療期間，長期給藥的方式","D",null,[],"本題考點是兒童化學治療靜脈通路裝置的選擇。考點在於依治療期程長短與給藥需求，選擇合適的中心靜脈導管。選項D宣稱「PICC是最適合長期化療給藥的方式」不適當，PICC屬經周邊置入的中心導管，較適合中短期療程，長期反覆化療應選植入式人工血管(Port-A)，可長期留置、感染風險低、外觀影響小，故D為答案。A Port-A須由外科醫師在手術室植入，正確；B PICC可由受特別訓練的護理師執行置入，正確；C Port-A須定期以含肝素生理食鹽水沖洗維持通暢，約每月一次，正確。故唯D的裝置選擇不適當。","中心靜脈通路比較:Port-A完全植入皮下、可留置數年、感染率低、適合長期間歇性化療;PICC經上臂靜脈置入、可床邊置放、適合數週至數月療程;Hickman為外露隧道式導管。維護:Port-A不用時定期沖洗(含肝素)防阻塞。記憶:長期反覆化療首選Port-A;PICC中短期。可連結:化療藥外滲(extravasation)風險高故需中心通路;導管相關血流感染防治與無菌換藥。",[24,26,29,31],{"term":25,"count":10},"人工血管Port-A",{"term":27,"count":28},"PICC",1,{"term":30,"count":28},"長期化療給藥",{"term":32,"count":28},"中心靜脈導管選擇",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-070","化學治療期間血液檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 320\u002Fmm 3 ，依據檢查結果，下列護理指導何者較適當？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-006","李女士，懷孕 40 週尚無產兆，前來進行 30 分鐘的無壓力試驗，有關無壓力試驗判讀所需的資料，下列何者錯誤？",6,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-020","有關母乳中各種營養素對於新生兒成長作用之敘述，下列何者錯誤？",20,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-maternal-pediatric-008","陰道生產過程，下列何種情形表示先露部位胎頭已發生著冠（crowning）？",8,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-012","吳女士，G 1 P 1 ，剖腹產後第 2 天，詢問：「我肚子脹脹的、不舒服，可以不要下床嗎？」下列護理措施何者最適當？",12,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",106,"2026-09-04",1788510730266]