[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-075":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-075","nurse-110-2-maternal-pediatric-075",110,2,75,"小雄，2 歲，因嘔吐、體溫 38.6℃而入院，母親主訴小雄昨日就開始嘔吐、解水樣綠色便多次，且進食量、尿量明顯減少，體重由 14 公斤降到 13.1 公斤。下列評估何者正確？",{"A":14,"B":15,"C":16,"D":17},"無脫水現象","輕度脫水現象","中度脫水現象","重度脫水現象","C",null,[],"本題考點是兒童脫水程度的評估判斷。考點在於以急性體重減少百分比作為脫水嚴重度指標:輕度約\u003C5%、中度約6–9%、重度≥10%。此案體重由14公斤降至13.1公斤，減少0.9公斤，佔0.9\u002F14約6.4%，落在中度脫水範圍，加上進食與尿量明顯減少、多次水樣便，符合中度脫水表現，故選C。A「無脫水」與B「輕度」低估了體重下降百分比與臨床症狀；D「重度」則須達10%以上並常伴休克徵象(如脈搏微弱、意識改變、無尿),與本案不符。故C中度脫水最正確。","急性體重變化是評估兒童脫水最客觀的指標;臨床再輔以皮膚飽滿度、黏膜、囟門凹陷、眼窩、微血管填充、尿量與意識。分級記憶:輕\u003C5%、中6–9%、重≥10%。等張性脫水最常見(腹瀉);補液依程度以口服電解質液或靜脈點滴矯正。記憶:每下降1公斤約等於1000毫升體液流失。可連結:低張、等張、高張性脫水的鈉濃度差異與補液速度考量;嬰幼兒體液比例高、脫水進展快。",[24,26,29,31],{"term":25,"count":10},"脫水程度評估",{"term":27,"count":28},"體重下降百分比",1,{"term":30,"count":28},"中度脫水",{"term":32,"count":28},"體液流失",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-076","張小弟，10 歲，診斷為腎病症候群（nephrotic syndrome），目前服用 Prednisolone 治療，下列護理指導何者最適當？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-012","王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",12,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-026","有關產後泌尿系統的變化，下列何者為正常現象？",26,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-maternal-pediatric-014","何女士，G1P1，採陰道分娩，無任何產後合併症，產後4小時，觸診子宮底時發現位於臍上一指且偏右，下列何者為首要的護理措施？",14,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-018","有關新生兒頭部評估，下列何者正確？",18,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-maternal-pediatric-012","蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",106,"2026-09-04",1788510730346]