[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-115-1-產兒科護理學-039","nurse-115-1-maternal-pediatric-039",115,1,39,"陳小妹，9 歲，罹患氣喘，有關尖峰呼氣流速值（peak expiratory flow rate, PEFR）使用的注意事項，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"數值可以做為監測急性發作嚴重度之依據","請陳小妹紀錄吹三次後的平均值","當數值在最佳值的 60～80%時表示控制良好","建議陳小妹在每日規則服藥後進行監測","A",null,[],"本題考點在尖峰呼氣流速值的臨床意義與正確測量方式。依氣喘照護原則，該數值反映大氣道的最大呼氣流速，數值下降幅度可用來客觀判斷氣道阻塞與急性發作的嚴重度，也是分區管理的依據，故選 A。B 錯在應吹三次並取最佳值而非平均值，因為技巧不佳的低值會拉低平均而低估肺功能。C 錯在最佳值的百分之六十至八十屬黃區警戒、代表控制不佳需調整用藥，控制良好應在百分之八十以上。D 錯在測量應安排於用藥前的固定時間，用藥後測量會被支氣管擴張效果掩蓋真實狀況。","分區管理口訣：綠區百分之八十以上維持治療、黃區百分之五十至八十加強用藥並觀察、紅區百分之五十以下屬警急狀況。測量技巧為站姿、指針歸零、深吸到底後含緊咬嘴用力快吹一口，重複三次取最高值。個人最佳值須在病情穩定期連續記錄兩到三週取得，才有比較基準。可連結氣喘的預防用藥與緩解用藥分工、以及誘發因子日誌的記錄方式。",[24,26,28,30],{"term":25,"count":10},"尖峰呼氣流速值",{"term":27,"count":10},"氣喘分區管理",{"term":29,"count":10},"個人最佳值",{"term":31,"count":10},"取三次最佳值原則",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-maternal-pediatric-040","安撫躁動不安的法洛氏四重畸形病童，經常採取膝胸臥式或蹲姿，有關彎曲腿部的理由，下列敘述何者錯誤？",40,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-maternal-pediatric-036","服用口服避孕藥的禁忌症，下列何者錯誤？",36,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"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？",50,2,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-008","一般建議孕期無壓力試驗（NST）開始測試的時間點和目的之敘述，下列何者正確？",8,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-052","丁丁，2 歲，診斷為水腦，並接受腦室－腹膜分流術（V-P shunt），現已術後第 5 天，今早丁丁哭鬧不喝奶，測得體溫達 38.2℃、血壓為 100\u002F60 mmHg，有關護理評估，下列何者需優先執行？",52,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-maternal-pediatric-006","有關妊娠期會陰按摩，下列敘述何者正確？",6,110,"2026-08-06",1787299089516]