[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-111-2-產兒科護理學-048","nurse-111-2-maternal-pediatric-048",111,2,48,"有關執行兒童生命徵象的測量，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"幼兒生命徵象測量依序是呼吸、脈搏、體溫和血壓","呼吸暫停是新生兒常見表徵，僅需持續觀察和記錄","2 歲以下幼兒，需測量心尖脈脈動完整 1 分鐘","3 歲以下幼兒，測量耳溫時將耳朵向下向後拉","B",null,[],"本題考點為兒童生命徵象測量原則,答案選錯誤者。考點在於新生兒呼吸暫停的臨床意義。新生兒呼吸暫停(apnea,停止呼吸 ≥20 秒或伴心搏過緩、發紺)屬異常警訊,需積極評估與處置,絕非「僅需持續觀察和記錄」,故 B 錯誤。A 幼兒測量順序先做干擾最小的呼吸、脈搏,再測體溫、血壓(避免哭鬧影響數值),正確;C 2 歲以下幼兒脈搏不規則,應聽心尖脈完整 1 分鐘,正確;D 3 歲以下幼兒耳道較直,量耳溫時應將耳朵向下向後拉,正確。故錯誤者為 B。","區分正常與異常:新生兒可有短暫(\u003C15~20 秒)且不伴心搏過緩、發紺的週期性呼吸,屬正常;真正的呼吸暫停 ≥20 秒或伴生理不穩定即為病理,需刺激、給氧甚至急救。量耳溫拉耳法:3 歲以下向下向後,3 歲以上向上向後拉,以拉直外耳道對準鼓膜。記憶:測量順序「先靜後擾」。",[24,27,29,32],{"term":25,"count":26},"心尖脈測量",3,{"term":28,"count":10},"兒童生命徵象",{"term":30,"count":31},"新生兒呼吸暫停",1,{"term":33,"count":31},"耳溫拉耳法",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-049","有關兒童疼痛的處理，下列何者最不適當？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-maternal-pediatric-065","菲菲，2 歲，罹患法洛氏四重症（Tetralogy of Fallot, TOF），出院後仍需每 12 小時服用毛地黃（Digoxin）一次，下列護理指導何者錯誤？",65,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-079","小琪，5 歲，診斷為中度腦性麻痺（Cerebral Palsy），有咀嚼、吞嚥控制困難問題，有關飲食之居家照顧指導，下列敘述何者錯誤？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-maternal-pediatric-047","有關人工肛門造瘻口之術後護理指導，下列何者較適當？",47,113,{"webId":54,"stem":55,"number":31,"year":56,"session":10},"nurse-115-2-maternal-pediatric-001","有關以實證為基礎的低風險婦女之生產照護原則，下列何者不適當？",115,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-106-2-maternal-pediatric-065","小華，5 歲，罹患大血管轉位（transposition of the great arteries;TGA），此次入院準備接受完全矯正手術。基於小華在心臟方面的認知，護理師應採取以下何種解釋方式較為適當？",106,"2026-09-04",1788510739423]