[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-030":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":26},"nurse-112-2-產兒科護理學-030","nurse-112-2-maternal-pediatric-030",112,2,30,"有關新生兒篩檢的檢體採集方式，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"早產兒出生週數滿 34 週即可立即採血","採血的穿刺部位應選擇避開蹠神經與跟骨部位的足跟兩側","穿刺後若血流不順可以用力擠壓穿刺處讓血液流出","穿刺時以 45 度角將穿刺針刺入採血點","B",null,[],"本題考點為新生兒篩檢足跟採血的正確技術。考點在於足跟採血應選擇足跟兩側外緣、避開中央的蹠神經與跟骨，以免傷及神經與骨骼造成跟骨骨髓炎，故正解為 B。A 錯誤，早產兒篩檢採血須考量餵食與週齡條件，並非滿 34 週即可立即採血；C 錯誤，用力擠壓穿刺處會混入組織液造成溶血、影響檢驗結果；D 錯誤，足跟採血並非以 45 度角刺入，應垂直快速穿刺適當深度。","足跟採血點選在足底外側緣（想像從大腳趾與第四、五趾各畫一線的外側區），避開中央區以保護蹠神經與跟骨；穿刺深度過深易傷跟骨。採血前可溫敷促進血液循環，讓血自然成滴滴落於濾紙圈內，避免擠壓造成溶血或組織液稀釋。台灣新生兒篩檢多於出生滿 48 小時、充分哺餵後採檢以確保代謝物濃度足夠。",[24,27,29,31],{"term":25,"count":26},"新生兒篩檢足跟採血",1,{"term":28,"count":26},"足跟外側緣避開蹠神經與跟骨",{"term":30,"count":26},"避免擠壓造成溶血",{"term":32,"count":26},"採檢時機",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-031","江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-047","小倩，11 歲，有急性腎衰竭病史，因控制不佳，此次入院診斷為慢性腎衰竭，有關其護理照護之敘述，下列何者最不適當？",47,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-041","下列何者為急性淋巴性白血病最有效之鑑別診斷？",41,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-039","小玉，2 歲，因感冒罹患急性中耳炎（acute otitis media）住院治療，其返家之護理照護，下列敘述何者正確？",39,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-013","下列何者為運用門閾理論來緩解宮縮疼痛不適的措施？",13,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-047","小玉，罹患先天性甲狀腺功能低下（congenital hypothyroidism），長期服用甲狀腺藥物，下列何者不是甲狀腺毒性反應之症狀？",107,"2026-09-04",1788510748239]