[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-049":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-049","nurse-115-1-maternal-pediatric-049",115,1,49,"小明，4 歲 2 個月大，右側股骨骨折（right femoral fracture）而住院，有關使用石膏治療產生患肢循環和神經系統的異常現象，下列徵象何者不適當？",{"A":14,"B":15,"C":16,"D":17},"疼痛（pain）","脈搏減少（pulselessness）","感覺異常（paresthesia）","瘀斑（purpura）","D",null,[],"本題考點在石膏固定後循環與神經功能受損的評估指標。依患肢評估的六個 P 原則，包含疼痛、蒼白、脈搏消失、感覺異常、麻痺與腫脹，用來偵測石膏過緊或腔室症候群，故不屬於此組指標的瘀斑為答案，選 D。A 的疼痛尤其是與傷勢不相稱且止痛無效的疼痛，是最早期警訊。B 的脈搏減少或摸不到代表動脈血流受阻，屬循環受損指標。C 的感覺異常如麻木刺痛，反映神經受壓，都是必須監測的項目。瘀斑屬皮下出血或凝血問題的表現，非壓迫評估指標。","腔室症候群的機轉是密閉腔室內壓力上升超過微血管灌流壓，造成組織缺血；股骨骨折上石膏後為高風險情境，處置方向是解除外部壓迫來源。評估要點包含比較兩側肢體的膚色、溫度、微血管填充、活動與感覺，並抬高患肢至心臟高度而非過高，以免降低灌流。記憶口訣把六個 P 串成「痛、白、無脈、麻木、癱、腫」。可連結石膏護理的乾燥期照護、防止異物掉入與皮膚完整性觀察。",[24,26,28,30],{"term":25,"count":10},"石膏患肢六P評估",{"term":27,"count":10},"腔室症候群",{"term":29,"count":10},"神經血管功能評估",{"term":31,"count":10},"患肢循環觀察",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-maternal-pediatric-050","有關腦性麻痺兒童之敘述，下列何者錯誤？",50,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-maternal-pediatric-046","有關兒童肌肉注射部位的考量，下列敘述何者正確？",46,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-maternal-pediatric-060","小明，3 歲，發燒 38.5℃，哭鬧不安，胃口不好，活動力差，至小兒急診求治，診斷為急性鼻咽炎，有關小明的照護措施，何者較不適當？",60,2,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-018","陳女士陰道檢查結果子宮頸擴張 9 公分，變薄程度 80%，高度+2，此時胎頭最有可能在下列那個位置？",18,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-062","小群目前 3 個月大，因膽道閉鎖未治療造成肝臟硬化、脾腫大、肝昏迷，有關提供小群的家屬家庭支持，下列敘述何者不適當？",62,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-maternal-pediatric-016","李女士 G 1 P 0 ，子宮收縮每 2 分鐘一次，子宮頸口開 9 公分，變薄程度為 90%，先露部位高度為 0，產婦說：「我很痛，我要用力了」，此時的優先護理措施為何？",16,110,"2026-08-06",1787299089628]