[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-040":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-115-1-產兒科護理學-040","nurse-115-1-maternal-pediatric-040",115,1,40,"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？",{"A":14,"B":15,"C":16,"D":17},"減少上肢靜脈的回心血量","增加肺動脈至肺臟的血量","增加全身血管的血流阻力","減少右心低氧濃度的血量","A",null,[],"本題考點在法洛氏四重畸形採蹲姿或膝胸臥式的血液動力學原理。彎曲腿部會壓迫下肢血管，使含氧量低的下肢靜脈血回心量減少，同時增加全身血管阻力，讓左心後負荷上升、右至左分流減少，因此更多血液被導向肺動脈完成氧合，故 A 把部位說成上肢靜脈屬錯誤敘述。B 正確，分流減少後流向肺臟的血量增加。C 正確，周邊阻力上升是關鍵機轉。D 正確，回心的低氧血減少，可緩解缺氧發作。","法洛氏四重畸形包含肺動脈狹窄、右心室出口阻塞造成的右心室肥厚、心室中隔缺損與主動脈跨位，四項合起來形成右至左分流與發紺。缺氧發作多在哭鬧、進食、排便後發生，因兒茶酚胺上升與周邊阻力下降使分流加劇。膝胸臥式的效果可用歐姆定律類比理解：提高全身阻力，血流自然改走阻力較低的肺循環。可連結發紺性與非發紺性先天性心臟病的分類與杵狀指的形成機轉。",[24,27,29,31],{"term":25,"count":26},"法洛氏四重畸形",3,{"term":28,"count":10},"右至左分流",{"term":30,"count":10},"全身血管阻力",{"term":32,"count":10},"膝胸臥式血液動力學",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-041","陳小妹，10 個月，診斷缺鐵性貧血（iron deficiency anemia），醫囑開立口服鐵劑，下列護理指導何者正確？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-037","王先生與太太結婚 3 年一直沒有孩子，醫師請他接受精液分析檢查，有關收集精液之護理指導，下列何者正確？",37,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-maternal-pediatric-051","嬰幼兒疼痛評估，不包括下列那一項？",51,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-053","小明，3 歲，被機車撞倒，頭部受傷，有關腦壓增高的早期臨床表徵，不包括下列何者？",53,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-maternal-pediatric-007","妊娠各時期的孕婦心理反應會因生理的改變而產生變化。第一妊娠期婦女的心理反應，下列敘述何者最適當？",7,110,"2026-08-06",1787299089521]