[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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-111-2-產兒科護理學-052","nurse-111-2-maternal-pediatric-052",111,2,52,"生理徵象的改變為評估疼痛的重要指標之一，下列何種徵象與疼痛較無直接關係？",{"A":14,"B":15,"C":16,"D":17},"尿量","心跳","呼吸","瞳孔","A",null,[],"本題考點為疼痛的生理徵象指標,答案選與疼痛較無直接關係者。考點在於疼痛引發交感神經興奮的生理反應。疼痛刺激交感神經,典型會使心跳加快、呼吸增快、瞳孔放大、血壓上升;尿量主要受腎血流、水分與抗利尿激素調節,並非疼痛的直接即時反應指標,故與疼痛較無直接關係者為 A 尿量。B 心跳、C 呼吸、D 瞳孔皆為交感神經興奮下的急性疼痛生理表現,關係密切。故答案為 A。","急性疼痛啟動「戰或逃」交感反應:心搏過速、呼吸加快、血壓上升、瞳孔散大、流汗、肌肉緊張。尿量反映的是循環容積與腎灌流的較長期指標,雖嚴重疼痛引發應激時可能間接影響,但非評估疼痛的即時生理徵象。記憶:疼痛看「心、呼、瞳、汗、壓」等交感反應,尿量不算直接。",[24,26,29,31],{"term":25,"count":10},"生命徵象",{"term":27,"count":28},"疼痛生理指標",1,{"term":30,"count":28},"交感神經興奮",{"term":32,"count":28},"瞳孔反應",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-053","有關早產兒安全的擺位，下列敘述何者不適當？",53,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-maternal-pediatric-069","小勇，10 歲，罹患急性淋巴性白血病，目前接受化學治療中，有關其護理措施之敘述，下列何者錯誤？",69,112,{"webId":44,"stem":45,"number":46,"year":42,"session":46},"nurse-112-3-maternal-pediatric-003","張女士，懷孕 30 週，主訴近期常感覺頻尿及偶有漏尿十分困擾，下列護理指導何者較不適當？",3,{"webId":48,"stem":49,"number":28,"year":50,"session":28},"nurse-114-1-maternal-pediatric-001","有關婦嬰生命統計資料的敘述，下列何者錯誤？",114,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-115-2-maternal-pediatric-005","下列何者為懷孕的確實徵象？",5,115,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-106-2-maternal-pediatric-069","郭小妹，妊娠週數 39 週又 4 天，自然產娩出，有關健康新生兒篩檢之時間安排，下列敘述何者正確？",106,"2026-09-04",1788510739453]