[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-072":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-072","nurse-106-1-maternal-pediatric-072",106,1,72,"小明，1 個月大，罹患膽道閉鎖，因發燒、呼吸喘、脾腫大而住院治療，接受鼻胃管灌食，每餐灌食量為 150 mL，護理師灌食前反抽出胃殘餘量 50 mL，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"應暫時停止餵食，並通知醫師","倒掉反抽的胃殘餘量，再灌入 150 mL","將反抽的胃殘餘量灌回，再灌入 100 mL","將反抽的胃殘餘量灌回，再灌入 150 mL","C",null,[],"本題考點為嬰兒鼻胃管灌食前胃殘餘量的處理原則。依灌食安全原則,反抽出的胃殘餘量含胃酸與電解質,應灌回以免流失造成電解質不平衡,並將該殘餘量計入當餐總量,故正確做法是將50 mL殘餘量灌回,再補灌100 mL,使總量維持在原訂的150 mL,選C。A暫停餵食通知醫師適用於殘餘量過多或有腹脹嘔吐等異常,單純50 mL不需;B倒掉殘餘量會造成胃液電解質流失,錯誤;D灌回後再灌150 mL會使總量達200 mL,超過醫囑餵食量而過度餵食,錯誤。",[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？",6,1783840734631]