還有更多這樣的題目挑戰 ›

護理師在出生後最初數小時內評估足月新生兒。針對每項發現，選擇最適當的分類。

Matrix

選擇作答後，查看答案。

	Expected transition with routine monitoring預期過渡期，常規監測	Prompt bedside reassessment and focused evaluation立即床邊重新評估與重點評估	Emergency stabilization緊急穩定
Pink tongue and trunk, blue hands and feet, strong cry, good tone, and heart rate 142/min舌頭與軀幹呈粉紅色、手腳呈藍色、哭聲宏亮、肌肉張力佳且心率 142/min
Irregular respirations at 42/min with pauses shorter than 10 seconds and no color or heart-rate change呼吸不規則，速率 42/min，暫停少於 10 秒且無膚色或心率變化
Axillary temperature 36.2°C with jitteriness and poor feeding腋溫 36.2°C，合併顫抖與餵食不佳
Respiratory rate 68/min persists with nasal flaring and mild retractions while central color remains pink呼吸速率 68/min 持續存在，合併鼻翼搧動與輕度胸壁回縮，中央膚色仍呈粉紅色
Apnea with gasping and heart rate 88/min after warming, positioning, drying, and stimulation在保溫、擺位、擦乾與刺激後仍呼吸暫停合併喘息，心率 88/min
Persistent central cyanosis with marked retractions and falling oxygen saturation持續性中央發紺，合併明顯胸壁回縮與血氧飽和度下降

查看答案

相同主題的下一題A 6-month-old infant is brought to the well-child clinic for routine vaccinations. The par…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。