[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-2-產兒科護理學-040","nurse-115-2-maternal-pediatric-040",115,2,40,"關於先天性心臟病病童一般術後的護理處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"排尿量維持 4～5 mL\u002Fkg\u002Fhour","注意疲倦、呼吸急促等心臟負荷徵象，避免過度活動，定期心臟超音波檢查","持續評估周邊組織灌流情況，及動脈與靜脈的壓力變化","若有胸腔引流管引流量持續三小時超過 3 mL\u002Fkg\u002Fhour，須立即通知醫師","A",null,[],"本題考點在於先天性心臟病術後的循環與體液監測指標。術後尿量是心輸出量與腎臟灌流的重要間接指標,一般維持在每公斤每小時一到二毫升即屬足夠,四到五毫升明顯偏高、不符臨床標準,故 A 錯誤。B 正確,疲倦與呼吸急促反映心臟負荷過重,再以心臟超音波追蹤心室功能與有無殘餘分流。C 正確,周邊組織灌流與動脈、靜脈壓變化可及早發現心輸出量下降。D 正確,胸腔引流量持續超過每公斤每小時三毫升屬術後出血警訊,須通報處理。","延伸病生理:心臟手術後最需警覺的是低心輸出量症候群,常見於體外循環後數小時到一天內,徵象包含心跳加快、脈搏壓變窄、四肢冰冷、微血管填充時間延長、尿量下降與代謝性酸中毒加乳酸上升,尿量因此成為最容易床邊追蹤的灌流指標。中心靜脈壓與動脈壓合看可幫助區分容積不足與心臟填塞;心包填塞會出現血壓下降、頸靜脈壓上升與心音遙遠,並常伴胸管引流突然減少。胸管引流量過多的門檻設計是為了及早偵測外科性出血或凝血功能異常。考點設計邏輯:三個正確選項都是監測項目,唯一錯項改動了一個具體數值,提醒考生兒科數值題要以每公斤每小時單位記牢。可連結概念:體外循環後全身發炎反應、肺高壓危機、術後心律不整監測。",[24,27,29,31,33],{"term":25,"count":26},"術後尿量正常範圍",1,{"term":28,"count":26},"低心輸出量症候群",{"term":30,"count":26},"胸腔引流量監測",{"term":32,"count":26},"周邊灌流評估",{"term":34,"count":26},"先天性心臟病術後照護",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-041","12 歲病童，診斷為風濕性心臟病（rheumatic heart disease），下列症狀何者較不會出現？",41,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-maternal-pediatric-007","胎兒生理活動評估（Biophysical profile）測試內容中以超音波評估的項目包括那些？",7,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-maternal-pediatric-021","楊女士剖腹產後第二天開始進食，主訴腹脹不舒服，下列措施何者不恰當？",21,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-maternal-pediatric-059","小文，6 個月大，被診斷胃食道逆流（Gastroesophageal reflux），下列護理指導何者正確？",59,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-023","劉女士剖腹產後因身體不適，且寶寶黃疸需住院照光治療而無法一同出院，她覺得自己不是好媽媽。下列何項措施對其親子依附關係的建立較不適當？",23,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-057","有關護理師與癌症末期病童談論有關死亡的溝通方式，下列敘述何者最適當？",57,110,"2026-08-06",1787299007321]