[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-065":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":10},"nurse-112-2-產兒科護理學-065","nurse-112-2-maternal-pediatric-065",112,2,65,"劉小弟，5 歲，因心室中膈缺損長期服用毛地黃，入院行右心導管檢查，有關劉小弟之照護措施，何者最正確？",{"A":14,"B":15,"C":16,"D":17},"檢查前禁食 4～6 小時，毛地黃改靜脈注射給與","檢查後每 15 分鐘測量生命徵象，持續 4 小時","檢查後維持穿刺肢體平直，須臥床休息","右心導管最常由股動脈進入右心房","C",null,[],"本題考點為兒童心導管檢查後的穿刺肢體照護。依動脈／靜脈穿刺後止血原則，術後須維持穿刺肢體伸直平放、臥床休息數小時，避免彎曲造成出血或血腫，故選 C。A 錯在心導管檢查前禁食是正確的，但長期服用毛地黃者於檢查當日通常依醫囑暫停或審慎評估，不會改為靜脈注射給藥。B 錯在術後生命徵象監測是採漸進式（如每 15 分鐘數次後逐漸拉長間隔），而非固定每 15 分鐘連續測 4 小時。D 錯在右心導管檢查是經靜脈系統進入右心，最常經股靜脈而非股動脈；經股動脈進入的是左心導管檢查。","口訣「右心走靜脈、左心走動脈」：右心導管經股靜脈→下腔靜脈→右心房；左心導管經股動脈逆行→主動脈→左心。術後照護重點：穿刺處加壓止血、患肢伸直制動、臥床、監測穿刺處出血與血腫、比較兩側肢體脈搏、膚色與溫度以評估末梢循環，並注意迷走神經反應與出血徵象。生命徵象採由密而疏的漸進監測。",[24,26,29,31],{"term":25,"count":10},"末梢循環評估",{"term":27,"count":28},"心導管檢查後照護",1,{"term":30,"count":28},"穿刺肢體制動",{"term":32,"count":28},"右心導管經股靜脈",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-066","邱小弟，4 歲，罹患重度主動脈瓣狹窄（Aortic Stenosis, AS），下列敘述何者錯誤？",66,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-maternal-pediatric-032","小亮，出生後診斷為腭裂（cleft palate），1歲時入院行腭裂修補術，有關術後約束之護理措施，下列敘述何者正確？",32,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-026","合併唇裂（cleft lip）與腭裂（cleft palate）嬰幼兒之手術前護理措施，下列敘述何者最適當？",26,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-maternal-pediatric-024","進入青春期的 17 歲少女一直無月經來潮，其可能原因為何？",24,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-048","筱華，5 歲，在幼兒園吃完午餐時，會模仿老師收拾餐盒，此行為表現依據艾瑞克森（Erikson）的理論，她的發展屬於何階段？",48,106,{"webId":59,"stem":60,"number":10,"year":61,"session":28},"nurse-108-1-maternal-pediatric-002","有關衛生福利部推動的母嬰親善醫院十大措施，下列何者錯誤？",108,"2026-09-04",1788510748532]