[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-074":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-074","nurse-106-1-maternal-pediatric-074",106,1,74,"小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"手術後造瘻口會有暫時性腫脹情形，持續約 3～6 週後，造瘻口會漸漸縮小開口","好的造瘻口呈紅色，若呈現黑色或深色，表示可能因扭轉、脫出或黏連造成血液循環不佳","將保護膜剪成如造瘻口大小或比造瘻口大約 0.5 公分，貼在造瘻口的周圍皮膚上","造瘻口黏膜需比周圍皮膚低，以保護周圍皮膚及造瘻口的完整，促進傷口癒合","D",null,[],"本題考點為腸造瘻口的居家護理指導。依造瘻口照護原則,健康的造瘻口應高於或平齊周圍皮膚且呈紅潤,以利排泄物流入造口袋、避免滲漏刺激皮膚,故D「造瘻口黏膜需比周圍皮膚低」為錯誤指導。A術後暫時性腫脹約3至6週漸縮小(對);B造瘻口由紅轉黑或深色代表扭轉、脫出或血循不良(對);C保護膜開口剪成與造瘻口同大或大約0.5公分以保護周圍皮膚(對)。造瘻口若凹陷低於皮膚,反而使排泄物滲入皮膚下緣造成糜爛,故D敘述違反照護目標。",[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？",6,1783840734642]