[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-066":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-066","nurse-112-2-maternal-pediatric-066",112,2,66,"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？",{"A":14,"B":15,"C":16,"D":17},"易發生充血性心衰竭，需要限制水分攝取","容易因為活動導致缺氧發作，需進行活動限制","觀察心跳與末梢循環，提供足夠休息與睡眠","須執行布萊洛-陶西分流術（Blalock-Taussing Shunt）","D",null,[],"本題考點在於主動脈瓣狹窄與布萊洛-陶西分流術的適應症不符。本題為反向題，錯誤敘述為 D。依先天性心臟病手術學，布萊洛-陶西分流術（Blalock-Taussig shunt）是用於法洛氏四合症等發紺型、肺血流不足的心臟病，藉由建立體肺分流增加肺血流，並非主動脈瓣狹窄的治療，AS 應以瓣膜整形或瓣膜置換等解除左心室出口阻塞的方式處理，故 D 錯誤為答案。A 正確，重度 AS 使左心室後負荷過重，易致充血性心衰竭而需限制水分。B 正確，活動時心輸出量需求增加但受阻，易誘發缺氧與昏厥，故須限制劇烈活動。C 正確，觀察心跳與末梢循環、提供充足休息是合宜照護。","主動脈瓣狹窄屬「阻塞性」左心病變，病生理是左心室出口阻塞→左心室肥厚、後負荷增加→運動時冠脈供需失衡易致胸痛、昏厥、猝死，故限制劇烈活動。B-T 分流專用於發紺型缺肺血心臟病（法洛氏四合症、肺動脈閉鎖），把體循環動脈接到肺動脈增加肺血流。判題關鍵：把「增加肺血流的姑息手術」套到「左心出口阻塞」病灶，屬適應症錯置。",[24,27,29,31],{"term":25,"count":26},"主動脈瓣狹窄",1,{"term":28,"count":26},"布萊洛-陶西分流術",{"term":30,"count":26},"發紺型先天性心臟病",{"term":32,"count":26},"左心室後負荷",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-067","王小弟因血紅素值 4.1 g\u002FdL 須輸血治療，下列敘述何者正確？",67,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-033","有關早產兒發展性照護的敘述，下列何者正確？",33,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-027","關於自閉症兒童的敘述，下列何者錯誤？",27,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-025","有關卵巢癌的致病因素，下列敘述何者錯誤？",25,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-049","李小妹，4 歲，在幼兒園上課時，經常是笑口常開，對於新同學與老師、玩具或活動均可以很快地接受，此行為表現為嬰幼兒氣質評估中的那一種項目？",49,106,{"webId":59,"stem":60,"number":47,"year":61,"session":26},"nurse-108-1-maternal-pediatric-003","王女士，G 1 P 0 ，懷孕 16 週，為增進母親與胎兒的情感連結，下列護理措施何者最適當？",108,"2026-09-04",1788510748547]