[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-115-2-產兒科護理學-050","nurse-115-2-maternal-pediatric-050",115,2,50,"小富，17 歲，因左側股骨骨折須以石膏固定，有關小富所需要的護理，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估患肢是否有疼痛、蒼白、麻痺、感覺異常","若不慎弄濕石膏，可立即以吹風機熱風吹乾","石膏固定的肌肉可做等張運動","若患肢循環差，可於石膏上方使用烤燈","A",null,[],"本題考點在於石膏固定後的神經血管評估與照護原則。固定後最須警覺的是腔室症候群,評估重點包含疼痛加劇、蒼白、麻痺、感覺異常與脈搏減弱等指標,故 A 正確。B 錯在濕石膏不可用吹風機熱風吹乾,熱風會造成皮膚燙傷並使石膏受熱不均而變質。C 錯在石膏包覆範圍內關節無法活動,只能做等長運動維持肌力,等張運動需要關節產生動作。D 錯在患肢循環不良時加溫會提高組織耗氧與燙傷風險,對改善灌流沒有幫助。","延伸病生理:腔室症候群源於封閉腔室內壓力上升超過微血管灌流壓,造成缺血與神經肌肉不可逆損傷,評估口訣為六個 P,也就是疼痛、蒼白、感覺異常、麻痺、無脈與體溫改變;其中不成比例且不因止痛而緩解的疼痛與被動牽拉時的疼痛出現最早,無脈是最晚的徵象,單靠脈搏判斷會延誤發現。石膏照護要點可整理成一組:濕石膏以自然通風乾燥、搬動時用手掌托而非手指抓握以免壓出凹痕、保持乾燥不可插入物品止癢、抬高患肢減輕腫脹、觀察石膏內異味與滲液以偵測皮膚破損或感染。運動概念要分清:等長運動不改變關節角度而只增加肌肉張力,適用於固定範圍;等張運動需關節活動,適用於未固定的鄰近關節。長骨骨折另須注意脂肪栓塞,多在傷後一到三天出現呼吸窘迫、意識改變與皮膚瘀點。可連結概念:牽引照護原則、骨折癒合階段、深層靜脈栓塞預防。",[24,26,29,31,33],{"term":25,"count":10},"神經血管評估",{"term":27,"count":28},"腔室症候群六 P 評估",1,{"term":30,"count":28},"石膏乾燥與照護",{"term":32,"count":28},"等長運動與等張運動區別",{"term":34,"count":28},"股骨骨折固定",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":28,"year":39,"session":28},"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":41,"stem":42,"number":43,"year":39,"session":10},"nurse-106-2-maternal-pediatric-017","胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",17,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-107-1-maternal-pediatric-031","產後婦女使用子宮收縮劑 Methergine 時，須特別留意下列何項生命徵象？",31,107,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-108-1-maternal-pediatric-069","張小弟，5 個月大，至健兒門診接受預防注射，下列何種預防注射疫苗適合張小弟注射？",69,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-2-maternal-pediatric-033","有關懷孕期 TORCH 感染的項目，下列何者錯誤？",33,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-2-maternal-pediatric-067","阿強，9 歲，罹患 G-6-PD 缺乏症，因全身黃疸住院治療，有關此疾病之誘發因子，下列敘述何者錯誤？",67,110,"2026-08-06",1787299007438]