[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-027":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":26},"nurse-113-2-產兒科護理學-027","nurse-113-2-maternal-pediatric-027",113,2,27,"陳小妹在媽媽的麵店玩耍，不小心撞到端著熱湯的媽媽，左手臂被燙傷，燙傷部分表皮皮膚微紅且出現水泡，當下立即處理何者最適當？",{"A":14,"B":15,"C":16,"D":17},"趕快帶陳小妹去沖冷水至少沖 15～30 分鐘","立即去冰箱拿冰塊做局部冰敷","給予燙傷藥膏塗抹傷口","用無菌針頭將燒傷水泡戳破","A",null,[],"本題考點在於燙傷（二度）的第一時間急救處置。傷處表皮微紅併水泡屬淺二度燙傷，正確急救原則為「沖、脫、泡、蓋、送」，首要立即以流動的冷水（非冰水）沖 15–30 分鐘以帶走熱能、減少組織持續受損與止痛，故選 A。B 錯，直接以冰塊冰敷會造成局部血管過度收縮與凍傷，加重組織損傷，禁用。C 錯，急救階段不應自行塗抹藥膏或任何油膏、牙膏，會妨礙散熱並增加後續清創與感染困難。D 錯，自行以針頭戳破水泡會破壞天然保護屏障、增加感染風險，水泡應保留由醫療人員評估處理。本題須掌握燙傷急救五步驟與「冷水非冰塊、勿塗抹、勿戳泡」的關鍵禁忌。","燙傷急救「沖脫泡蓋送」：沖—流動冷水（約 15–25℃）沖 15–30 分鐘降溫止痛；脫—在水中小心除去衣物，沾黏處勿硬撕；泡—持續浸泡冷水穩定傷處與疼痛；蓋—以乾淨無菌敷料覆蓋；送—須儘速就醫評估。禁忌背後機轉：熱傷害在移除熱源後仍會因餘熱向深層延燒（burn wound progression），冷水能中止此進程；冰塊造成血管收縮與二次凍傷反使壞死加深；水泡完整時是天然無菌屏障，不宜自行弄破。淺二度癒合約 2 週且通常不留疤，正確急救可顯著改善預後。",[24,27,29,31],{"term":25,"count":26},"燙傷急救沖脫泡蓋送",1,{"term":28,"count":26},"淺二度燙傷",{"term":30,"count":26},"流動冷水降溫",{"term":32,"count":26},"水泡保護與禁用冰塊",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-028","有關自閉症（autistic disorder）兒童的照護，下列敘述何者最適當？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-024","在已開發國家中會以那些措施預防愛滋病的母子垂直感染？①妊娠期接受完整的抗愛滋病毒藥物治療    ②採剖腹生產   ③新生兒給與預防性口服抗愛滋病毒藥物     ④分娩前母親血中病毒量＜400 copies\u002FmL者方可哺餵母乳",24,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-018","游女士，G 1 P 0 ，懷孕 41 週，故至醫院進行催生，子宮頸未開，最常給予引發子宮收縮的藥物為下列何者？",18,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-066","有關血友病病童的運動建議，下列敘述何者正確？",66,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-030","有關新生兒神經成熟度評估之描述，下列何者是早產兒的特徵？",30,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-064","凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",64,108,"2026-09-04",1788510755552]