[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-065":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-111-1-產兒科護理學-065","nurse-111-1-maternal-pediatric-065",111,1,65,"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？",{"A":14,"B":15,"C":16,"D":17},"趴睡","側睡","垂頭俯臥","半坐臥","D",null,[],"本題考點是心室中膈缺損（VSD）併充血性心衰竭的舒適擺位。依心衰竭生理，半坐臥（semi-Fowler’s）可藉重力減少靜脈回流、降低前負荷並使橫膈下降、增加肺擴張，緩解呼吸喘與費力，故選 D。A 趴睡不利胸廓擴張且增加呼吸做功，不適合喘的病童。B 側睡雖較平躺舒適，但改善肺擴張與減輕心臟負荷的效果不如半坐臥。C 垂頭俯臥屬體位引流姿勢，會增加胸腔壓力與呼吸負擔，對心衰竭喘的病童不適當。","充血性心衰竭時肺循環鬱血致呼吸費力，半坐臥（頭高)可降低靜脈回流與前負荷、擴大功能性肺餘量。VSD 為左至右分流，肺血流增加易致肺充血與心衰竭，其他照護包括少量多餐減少耗氧、給氧、限制過度活動與依醫囑用強心利尿藥。記憶點：喘就抬高、減回流、增肺容。可延伸連結左向右分流的血流動力學與心衰竭餵食策略。",[24,26,28,29,31],{"term":25,"count":10},"心室中膈缺損",{"term":27,"count":10},"充血性心衰竭",{"term":17,"count":10},{"term":30,"count":10},"降低前負荷",{"term":32,"count":10},"肺循環鬱血",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-maternal-pediatric-066","有關兒童心導管檢查的各腔室含氧飽和度，下列敘述何者異常？",66,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-1-maternal-pediatric-002","下列何種情況之孕婦最需要協助轉介遺傳諮詢？",2,112,{"webId":44,"stem":45,"number":46,"year":42,"session":41},"nurse-112-2-maternal-pediatric-016","有關初產婦與經產婦於分娩過程的常見變化，下列敘述何者正確？",16,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-113-2-maternal-pediatric-034","有關早產兒常發生的問題，下列敘述何者錯誤？",34,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-maternal-pediatric-038","小芷，因發燒、感冒症狀就診，診斷為黴漿菌肺炎（mycoplasma pneumonia）而入院治療，下列敘述何者最適當？",38,114,3,{"webId":59,"stem":60,"number":41,"year":61,"session":41},"nurse-106-2-maternal-pediatric-002","產科護理師針對護理照顧內容進行討論，並發展及驗證合適的護理措施，藉以提升專業之照護品質，是屬於下列何種角色功能？",106,"2026-09-04",1788510735947]