[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-073":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-073","nurse-106-1-maternal-pediatric-073",106,1,73,"王小弟，9 歲，將進行腸道手術前的清潔灌腸（cleansing enema），下列護理技術之執行，何者正確？",{"A":14,"B":15,"C":16,"D":17},"準備蒸餾水 600 mL，溶液溫度為 40～43℃","協助兒童安靜平躺床上後，採右側臥、屈曲雙膝姿勢","將灌腸筒掛於點滴架上，使液面與兒童肛門距離 45～60 公分","請兒童張口深呼吸，潤滑 14 Fr.肛管後，推入兒童肛門內 7.5 公分","D",null,[],"本題考點為兒童清潔灌腸的正確技術。依灌腸操作原則,插管前請兒童張口深呼吸以放鬆肛門括約肌,潤滑肛管後緩慢插入,學齡兒插入深度約7.5公分,故D正確。A錯:灌腸溶液應用生理食鹽水而非蒸餾水,蒸餾水為低張液大量灌入會致水中毒,且40至43℃偏高易灼傷黏膜。B錯:為順乙狀結腸與降結腸走向應採左側臥,而非右側臥。C錯:灌腸筒液面與肛門距離過高會使壓力與流速過大,兒童應較低,45至60公分過高。",[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？",6,1783840734639]