[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-產兒科護理學-034","nurse-114-3-maternal-pediatric-034",114,3,34,"有關早產兒呼吸暫停的照護處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"餵奶期間若有呼吸暫停須減緩或停止餵食，待膚色恢復粉紅、四肢放鬆等再繼續餵食","通常以 Indomethacin 治療，且須監測血中濃度","為了維持呼吸道通暢，可將其頸部微仰，勿過度屈曲及伸展","若有呼吸暫停，需給予觸覺刺激，並維持呼吸道通暢","B",null,[],"本題考點在於早產兒呼吸暫停（apnea of prematurity）的照護，本題為反向題。錯誤敘述為 B：呼吸暫停的藥物治療以甲基黃嘌呤類的咖啡因（caffeine）或 theophylline 刺激呼吸中樞為主，Indomethacin 是用來關閉開放性動脈導管（PDA），與呼吸暫停治療用途不同，故 B 錯。A 正確，餵食中若出現呼吸暫停應暫停餵食，待膚色與肌張力恢復再續餵；C 正確，維持頸部略微伸展的中位、避免過度屈曲或後仰以保持呼吸道通暢；D 正確，可先給予溫和的觸覺刺激誘發呼吸並確保呼吸道暢通。故選 B。","早產兒呼吸暫停指呼吸停止≥20 秒，或伴心搏過緩／血氧下降的較短暫停，成因是呼吸中樞不成熟。首選藥物為咖啡因（治療窗較寬、半衰期長、副作用少，現多不需常規監測血中濃度）。Indomethacin／Ibuprofen 為前列腺素合成抑制劑，用於藥物性關閉 PDA，兩者用途不可混淆。照護含刺激、姿勢擺位與必要時 CPAP。",[24,27,30,32],{"term":25,"count":26},"早產兒呼吸暫停",4,{"term":28,"count":29},"咖啡因(甲基黃嘌呤)刺激呼吸中樞",1,{"term":31,"count":29},"Indomethacin 用於關閉 PDA",{"term":33,"count":29},"呼吸道姿勢擺位",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-035","小敏，出生後診斷胎便吸入症候群（meconium aspiration syndrome），有關護理照護措施，下列敘述何者不適當？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-maternal-pediatric-031","有關健康兒童各階段已完成發展的動作敘述，下列何者較不適當？",31,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-106-1-maternal-pediatric-075","有關沙門氏菌（Salmonella）感染引致的兒童急性腸胃炎，其大便型態之敘述，下列何者正確？",75,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-maternal-pediatric-033","以比夏計分法（Bishop’s score）評估產婦引產的難易度，下列何者錯誤？",33,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-maternal-pediatric-077","王小弟，3 歲，罹患腎病症候群（nephrotic syndrome），目前服用 prednisolone 治療。護理師在安排與王小弟同住的病童時，下列何者適宜？",77,108,{"webId":61,"stem":62,"number":42,"year":63,"session":29},"nurse-110-1-maternal-pediatric-031","王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",110,"2026-09-04",1788510762544]