[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-111-2-產兒科護理學-066","nurse-111-2-maternal-pediatric-066",111,2,66,"為了增加法洛氏四重症（TOF）兒童的肺循環血流，以增加其左心充氧血的含量，下列照護處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"缺氧發作時予膝胸臥姿","口服給予 Aspirin","靜脈滴注前列腺素 E 1 (PGE 1 )","布萊洛克陶西分流術（Blalock-Taussing shunt）","B",null,[],"本題考點為法洛氏四重症(TOF)增加肺循環血流的照護。TOF 因肺動脈狹窄使肺血流不足，處置目標是增加流向肺部的血量以改善充氧。膝胸臥姿(A)可增加體循環阻力、減少右至左分流而增加肺血流，正確；靜脈滴注前列腺素 E1(C)維持動脈導管開放，讓血液經導管流入肺動脈，正確；布萊洛克陶西分流術(D)以人工管道連接鎖骨下動脈與肺動脈增加肺血流，正確。而口服 Aspirin(B)為抗血小板藥，與「增加肺循環血流」無關，並非達成此目的的處置，故 B 為錯誤選項。考點在於辨識哪些措施能提升 TOF 的肺血流。","TOF 四特徵記法：肺動脈狹窄、心室中膈缺損、主動脈跨位、右心室肥厚。缺氧發作(tet spell)時膝胸臥姿藉增加體循環阻力壓低右至左分流。PGE1 維持導管開放為術前橋接；BT shunt 是姑息手術先增肺血流，待長大再行全矯正手術。Aspirin 屬混淆選項，與肺血流無因果。",[24,27,29,32],{"term":25,"count":26},"前列腺素 E1",4,{"term":28,"count":10},"法洛氏四重症",{"term":30,"count":31},"膝胸臥姿",1,{"term":33,"count":31},"布萊洛克陶西分流術",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-067","小蘋，5 歲，診斷為缺鐵性貧血，血紅素（Hb）為 5.5 g\u002FdL，下列何項身體反應與此檢驗值最不相關？",67,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-2-maternal-pediatric-003","趙女士至門診確認懷孕 8 週，有孕吐現象，詢問有關孕期熱量攝取，下列何者為最適當的回答？",3,112,{"webId":45,"stem":46,"number":47,"year":43,"session":42},"nurse-112-3-maternal-pediatric-017","促使新生兒出生後動脈導管功能性關閉的最主要原因為何？",17,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-114-1-maternal-pediatric-015","有關產後惡露評估，下列敘述何者為正常生理現象？",15,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-019","有關心臟病婦女妊娠期生活與飲食之注意事項，下列何者正確？",19,115,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-107-1-maternal-pediatric-003","計算預產期的方法，下列何者正確？",107,"2026-09-04",1788510739585]