[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-049","nurse-106-1-maternal-pediatric-049",106,1,49,"王小弟，10 歲，頭部外傷住加護病房治療，因病情穩定轉出至兒科病房，然病童仍躁動不安，欲拔除鼻胃管及靜脈注射留置針，經護理評估為了病人安全需給予約束，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"配合翻身，每隔 2 小時觀察約束肢體的循環狀態","可採用手臂約束法，將固定帶綁在床欄杆上","可採用雙套結約束法，用棉墊保護雙手，固定於床架上","可採用木乃伊約束法，固定雙手雙腳外，維持頭頸部自由活動","C",null,[],"本題考點為兒童身體約束的安全原則。依約束護理標準,固定帶應綁在「不隨床欄移動的床架」上並以棉墊保護肢體皮膚,雙套結(clove hitch)不會因牽扯而收緊勒傷,故選C正確。A 錯在觀察頻率不足,約束肢體應每 15–30 分鐘評估循環,每 2 小時過長恐延誤發現缺血;B 錯在固定帶綁於「床欄杆」,床欄升降時會拉扯造成傷害,應綁床架;D 錯在木乃伊約束法用於嬰兒短暫全身固定(如頭頸檢查),並非用於固定四肢、且與本情境需求不符。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"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？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734410]