[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-112-3-產兒科護理學-026","nurse-112-3-maternal-pediatric-026",112,3,26,"小明，1 歲 8 個月大，體重 12 公斤，不慎被熱水燙到，導致前胸 15%的燒傷，立即送醫後經評估為二度燒傷，關於小明的照護措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在燒傷最初 24 小時以乳酸林格氏液補充水分及電解質","輸液的速度需觀察生命徵象、尿量，以適時調整滴速","提供足夠營養以修復組織細胞，每日熱量需求為 1,050 Kcal","傷口處置包含每天換藥、清洗、水療、清創及植皮等照護","C",null,[],"本題考點在於幼兒燒傷的體液補充、營養與傷口照護原則。針對此二度燒傷幼兒：燒傷初 24 小時以乳酸林格氏液補充體液電解質、依生命徵象與尿量調整點滴滴速、傷口予以換藥清洗水療清創等，皆為正確處置。本題為反向題，錯誤敘述為 C——燒傷病童處於高代謝狀態，熱量需求應顯著增加以修復組織，題中所列每日 1,050 Kcal 過低、與燒傷後應提高熱量的原則不符，故錯誤。A、B、D 皆為適當的燒傷急性期與傷口照護。","燒傷後進入高分解代謝，熱量與蛋白質需求大增以支持組織修復與免疫。體液復甦常用 Parkland 公式（乳酸林格氏液）估算，並以每小時尿量為最重要的復甦指標。二度燒傷傷及表皮與部分真皮，換藥、清創與必要時植皮以促進癒合、預防感染。",[24,26,29,31],{"term":25,"count":10},"尿量監測",{"term":27,"count":28},"幼兒燒傷照護",1,{"term":30,"count":28},"乳酸林格氏液復甦",{"term":32,"count":28},"燒傷高代謝營養需求",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-027","有關厭食症的相關敘述，下列何者錯誤？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-023","林女士，若進行第一階段 50 gm 葡萄糖耐性試驗篩檢妊娠糖尿病，下列那些敘述正確？①建議於懷孕 20～22 週篩檢 ②建議於懷孕 24～28 週篩檢 ③篩檢前需禁食，空腹抽血 ④1 小時後的血糖值大於 140 mg\u002FdL，則需進一步檢查",23,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-maternal-pediatric-017","有關預防尿布疹的措施，下列何者最適當？",17,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-015","蔡女士，G 1 P 1 ，新生兒出生體重 3800 公克，產後第二天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。進行哺乳相關資料收集發現，新生兒現在體重 3500 公克，早上 9 點剛換過一次尿片，混雜尿尿及大量墨綠色大便。有關產後住院期間的照護建議，下列何者不適當？",15,115,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-1-maternal-pediatric-009","有關妊娠 9 週的超音波檢查評估項目，下列何者錯誤？",9,107,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-108-1-maternal-pediatric-043","林小弟，妊娠週數 37 週又 3 天，出生體重 2950 公克，採純母乳哺餵，今體重 2620 公克，減少出生體重的 10%以上，給予檢測血糖為 33 mg\u002FdL，有關低血糖可能造成的影響及處理，下列何者錯誤？",43,108,"2026-09-04",1788510745468]