[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-073":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-073","nurse-112-2-maternal-pediatric-073",112,2,73,"下列何者為評估病童「重度脫水」時會有的症狀或徵象？",{"A":14,"B":15,"C":16,"D":17},"頻尿","哭沒有眼淚","體重減輕＜5%","脈搏下降","B",null,[],"本題考點為兒童重度脫水的臨床徵象。依脫水評估，體液嚴重不足時淚液分泌減少，故哭泣時「無眼淚」是中重度脫水的典型徵象，選 B。A 錯在脫水時腎臟保留水分使尿量減少（寡尿）而非頻尿。C 錯在重度脫水的體重減輕程度大（一般大於 9～10%），輕度才在 5% 以下，故「體重減輕＜5%」不符重度。D 錯在脫水導致有效循環血量下降，身體代償使心跳加速（脈搏上升而細弱），而非脈搏下降。","小兒脫水嚴重度以體重流失百分比分級（輕度約 3～5%、中度約 6～9%、重度≥10%）。重度脫水徵象整組記憶：眼窩凹陷、囟門凹陷、皮膚彈性差（回彈慢）、黏膜乾、哭無淚、寡尿或無尿、心跳快而脈弱、血壓下降、意識改變、微血管回填時間延長。核心生理是「循環血量不足→交感代償心跳加快、腎臟保水少尿」。B 與 A、D 的方向對比正是判題關鍵。",[24,26,29,31],{"term":25,"count":10},"代償性心搏過速",{"term":27,"count":28},"兒童脫水評估",1,{"term":30,"count":28},"重度脫水徵象",{"term":32,"count":28},"哭無淚",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-074","王小弟，6 歲，因下腹部疼痛、噁心、嘔吐等現象到急診室求治，懷疑闌尾炎，有關闌尾炎的評估，下列何者最適當？",74,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-maternal-pediatric-040","有關川崎氏症病童的治療及其目的，下列敘述何者正確？",40,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-034","楊小妹，妊娠週數 31 週，出生體重 1,628 公克，有關楊小妹出生後的生理特徵，下列敘述何者錯誤？",34,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-maternal-pediatric-032","照護住院兒童時，下列敘述何者錯誤？",32,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-056","鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",56,106,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-maternal-pediatric-010","有關胎血循環，下列何者正確？",10,108,"2026-09-04",1788510748622]