[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-112-2-產兒科護理學-045","nurse-112-2-maternal-pediatric-045",112,2,45,"有關兒童血壓測量，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"右臂橈動脈區是最常用基準部位","合適的壓脈帶寬度應可以覆蓋所選肢體的 1\u002F2","小於 1 歲兒童的正常血壓範圍為 100～110\u002F60～75 mmHg","1 歲以上兒童的下肢測量收縮壓會比上肢高約 20 mmHg","D",null,[],"本題考點為兒童血壓測量的部位與正常值。依循環生理，站立或臥位時下肢動脈受重力與較大血管管徑影響，1 歲以上兒童下肢（如膕動脈）測得的收縮壓通常比上肢高約 10～40 mmHg（常引用約 20 mmHg），故選 D。A 錯在血壓測量的基準部位是上臂肱動脈（brachial artery）而非橈動脈，橈動脈主要用於觸診脈搏。B 錯在合適壓脈帶寬度應覆蓋上臂長度的 2\u002F3（約肢體周徑 40%），僅覆蓋 1\u002F2 過窄會使讀值偏高。C 錯在小於 1 歲嬰兒正常血壓約為 65～90\u002F45～65 mmHg，100～110\u002F60～75 mmHg 明顯偏高。","壓脈帶「過窄讀值偏高、過寬讀值偏低」是必考重點，寬度取上臂 2\u002F3 長度可平衡。下肢血壓高於上肢屬正常；反之若下肢收縮壓明顯低於上肢，須警覺主動脈窄縮（coarctation of aorta）。兒童血壓隨年齡上升，記憶可用「年紀愈大血壓愈高、下肢恆高於上肢」的方向性原則，減少死背數字的負擔。",[24,26,29,31],{"term":25,"count":10},"主動脈窄縮",{"term":27,"count":28},"兒童血壓正常值",1,{"term":30,"count":28},"壓脈帶寬度",{"term":32,"count":28},"下肢與上肢血壓差",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-046","有關兒童氣質的相關敘述，下列何者錯誤？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-maternal-pediatric-012","王女士，初產婦，陰道生產，採純母乳哺育，產後6週重返職場的一週後，主訴發燒38℃，右側乳房情況如圖所示，觸診溫熱且有痛感。最可能的診斷是？",12,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-006","第三孕期婦女抱怨下肢腫脹，傍晚時鞋子就穿不下，下列護理指導何者不適當？",6,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-maternal-pediatric-004","王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",4,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-028","有關新生兒呼吸系統之敘述，下列何者錯誤？",28,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-062","兒童在瀕死過程中，出現呼吸逐漸由深變淺時，下列護理措施何者正確？",62,107,"2026-09-04",1788510748378]