[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-041":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":26},"nurse-113-3-產兒科護理學-041","nurse-113-3-maternal-pediatric-041",113,3,41,"6 歲的小強因不明原因的貧血而入院，欲進行骨髓抽吸術（bone marrow aspiration），下列處置及護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"此年紀穿刺部位以近側脛骨優先","穿刺後傷口應以紗布覆蓋加壓至少 15 分鐘以防出血","術前評估小強是否有出血異常或服用凝血相關藥物","穿刺後 1 小時內需密切監測生命徵象及傷口出血情形","A",null,[],"本題考點在於兒童骨髓抽吸術的部位與護理。本題為反向題，錯誤敘述為 A。學齡兒（6 歲）骨髓穿刺首選部位為後髂骨嵴（posterior iliac crest），骨髓腔量多且安全；近側脛骨主要用於較小嬰兒，故 A 錯誤。B 穿刺後以紗布覆蓋並加壓至少 15 分鐘以防出血，正確；C 術前評估是否有出血傾向或服用抗凝、抗血小板藥物，正確；D 術後 1 小時內密切監測生命徵象與傷口出血，正確。判斷關鍵在於依年齡選擇骨髓腔充足且安全的穿刺部位。","骨髓抽吸用於評估貧血、白血病等造血異常。部位選擇隨年齡改變：嬰幼兒骨髓腔小、髂嵴未發育完全，故用脛骨近端；較大兒童與成人則用後髂骨嵴或胸骨。術後主要併發症為出血與感染，故重視加壓止血與傷口監測，並須先排除凝血異常以降低出血風險。",[24,27,29,31],{"term":25,"count":26},"骨髓抽吸術",1,{"term":28,"count":26},"後髂骨嵴",{"term":30,"count":26},"穿刺部位",{"term":32,"count":26},"止血護理",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-maternal-pediatric-042","有關預防腫瘤溶解症候群（tumor lysis syndrome）所進行的相關處置，下列敘述何者錯誤？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-maternal-pediatric-038","下列何種疫苗在國內常規接種時，主要建議採「皮下注射」？",38,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-maternal-pediatric-032","照護住院兒童時，下列敘述何者錯誤？",32,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-maternal-pediatric-050","為學齡前期兒童執行侵入性治療時，下列護理措施何者錯誤？",50,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-1-maternal-pediatric-014","胡女士子宮頸口全開，護理師協助產婦躺上產檯並準備生產，下列護理措施何者不合適？",14,108,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-maternal-pediatric-048","有關兒童氣喘（Asthma）的敘述，下列何者正確？",48,109,"2026-09-04",1788510753335]