[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-111-2-產兒科護理學-048","nurse-111-2-maternal-pediatric-048",111,2,48,"有關執行兒童生命徵象的測量，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"幼兒生命徵象測量依序是呼吸、脈搏、體溫和血壓","呼吸暫停是新生兒常見表徵，僅需持續觀察和記錄","2 歲以下幼兒，需測量心尖脈脈動完整 1 分鐘","3 歲以下幼兒，測量耳溫時將耳朵向下向後拉","B",null,[],"本題考點為兒童生命徵象測量原則,答案選錯誤者。考點在於新生兒呼吸暫停的臨床意義。新生兒呼吸暫停(apnea,停止呼吸 ≥20 秒或伴心搏過緩、發紺)屬異常警訊,需積極評估與處置,絕非「僅需持續觀察和記錄」,故 B 錯誤。A 幼兒測量順序先做干擾最小的呼吸、脈搏,再測體溫、血壓(避免哭鬧影響數值),正確;C 2 歲以下幼兒脈搏不規則,應聽心尖脈完整 1 分鐘,正確;D 3 歲以下幼兒耳道較直,量耳溫時應將耳朵向下向後拉,正確。故錯誤者為 B。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840793435]