[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-111-1-產兒科護理學-053","nurse-111-1-maternal-pediatric-053",111,1,53,"小方，進入瀕臨死亡狀態，有關瀕死的生命跡象，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"失去理智且意識混亂","失去大小便的控制能力","呼吸型態改變（潮式呼吸法：Cheyne-Stokes respiration）","快速且強而有勁的脈搏","D",null,[],"本題考點是瀕死病人的生命徵象變化。依瀕死生理，循環衰竭時心輸出量下降，脈搏應轉為快速而微弱、細絲樣（thready），故「快速且強而有勁的脈搏」與瀕死表現相反、最不適當，選 D。A 正確，腦部灌流不足與代謝改變常致意識混亂、失去理智。B 正確，肛門與膀胱括約肌失去張力，會出現大小便失禁。C 正確，延腦呼吸中樞受損可出現潮式呼吸（Cheyne-Stokes），呈漸強漸弱後暫停的週期型態。","瀕死的典型徵象群：血壓下降、脈搏快而弱、末梢發紺與斑駁、皮膚濕冷、呼吸型態改變（潮式呼吸或下頷式呼吸）、痰鳴（death rattle）、意識與括約肌控制喪失。強而有力的脈搏代表循環尚佳，與臨終循環崩解矛盾。記憶對比：瀕死脈搏是「快而細弱」不是「強而有勁」。可延伸連結臨終症狀處置與家屬哀傷支持。",[24,26,28,30,32],{"term":25,"count":10},"瀕死生命徵象",{"term":27,"count":10},"脈搏細弱",{"term":29,"count":10},"潮式呼吸",{"term":31,"count":10},"括約肌失禁",{"term":33,"count":10},"循環衰竭",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-054","早產兒口、鼻、氣管內管分泌物多，必要時應予抽吸，下列敘述何者正確？",54,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-maternal-pediatric-070","小芬，11 個月大，初次診斷為單純性熱性痙攣（simple febrile convulsion）住院治療，下列護理措施何者錯誤？",70,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-112-2-maternal-pediatric-004","有關懷孕期的營養指導，下列何者最適當？",4,112,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-113-2-maternal-pediatric-022","下列那些為重度子癇前症的危險徵候和症狀？①嚴重頭痛 ②視力模糊 ③4 小時尿量為 400 mL ④血清肌酐酸持續下降",22,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-maternal-pediatric-026","有關注意力不足過動症（attention deficit hyperactivity disorder, ADHD），下列敘述何者正確？",26,114,3,{"webId":61,"stem":62,"number":42,"year":63,"session":10},"nurse-106-1-maternal-pediatric-070","有關化學治療藥物的副作用與護理措施，下列敘述何者正確？",106,"2026-09-04",1788510735833]