[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-111-1-產兒科護理學-064","nurse-111-1-maternal-pediatric-064",111,1,64,"小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"易有暈眩、流鼻血、心搏過速等症狀","下肢因血流增加，而溫度較高","頸動脈搏動變弱","下肢血壓會高於上肢血壓","A",null,[],"本題考點是主動脈狹窄（Coarctation of Aorta）的身體評估表現。依其血流動力學，狹窄近端（上半身）血流受阻而壓力升高，遠端（下半身）灌流減少，故上半身可出現頭痛、暈眩、流鼻血與代償性心搏過速，選 A。B 錯，下肢因血流減少而較冰冷、脈搏微弱，非溫度較高。C 錯，上半身血壓高，頸動脈搏動反而增強而非變弱。D 錯，典型表現是上肢血壓高於下肢血壓（上高下低），選項寫反。","主動脈狹窄多位於動脈導管附近，經典徵象為「上肢高血壓、下肢低血壓」與股動脈脈搏減弱或延遲（上肢與股脈不對稱）。上身高壓致頭痛、鼻出血、暈眩；下身低灌注致下肢冰冷、易疲勞與間歇性跛行。診斷可測四肢血壓比較。記憶口訣：上強下弱、上熱下冷、上壓高下壓低。可延伸連結先天性心臟病的血壓評估與股動脈脈搏檢查。",[24,27,29,31,33],{"term":25,"count":26},"主動脈狹窄",3,{"term":28,"count":10},"上肢高血壓",{"term":30,"count":10},"下肢脈搏減弱",{"term":32,"count":10},"四肢血壓差",{"term":34,"count":10},"上半身代償",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-065","王小弟，心室中膈缺損（VSD），出現充血性心衰竭的症狀，呼吸喘，費力，請問採那個姿勢較舒適？",65,{"webId":41,"stem":42,"number":10,"year":43,"session":10},"nurse-112-1-maternal-pediatric-001","有關分娩期的支持性照護措施，下列何者較不適當？",112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-maternal-pediatric-015","高女士，G 2 P 0 ，懷孕 38 週，因規則陣痛且自然破水而入院待產。待產期間沒有接受硬脊膜外麻醉，已入院待產 13 小時，目前子宮收縮每 2～3 分鐘一次，持續 50 秒，子宮頸口擴張 8 公分，胎兒高度 −1。請問，高女士此時最不可能出現下列何種徵象或行為反應？",15,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-3-maternal-pediatric-037","在流感好發的季節，一位母親帶著嬰兒來健兒門診詢問護理師，可以接種第一劑流感疫苗的時間，下列何者正確？",37,114,{"webId":60,"stem":61,"number":10,"year":62,"session":48},"nurse-106-2-maternal-pediatric-001","生產是家庭關係重新開始的重要一環，下列何項醫療院所的政策有助於此理念的推展？",106,"2026-09-04",1788510735943]