[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-106-2-產兒科護理學-079","nurse-106-2-maternal-pediatric-079",106,2,79,"小玲，出生 3 天，診斷為脊髓之脊髓膜膨出且合併有水腦症，有關其手術前的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"維持垂頭俯臥姿勢，以利脊髓液回流","協助其腿部呈外展，以預防髖關節脫位","選擇質軟小孔的奶嘴餵食，以預防吞食過量空氣","維持臀部及會陰部乾淨，以減少糞便污染膨出的囊","A",null,[],"本題考點在脊髓脊髓膜膨出(myelomeningocele)合併水腦症的術前照護,採反向題。術前照護重點是保護膨出囊袋不受壓破損:採俯臥、腿部外展防髖脫位(B 正確)、選軟奶嘴防吞入過多空氣(C 正確)、保持臀部會陰乾淨防糞便污染囊袋(D 正確)。A『維持垂頭俯臥姿勢以利脊髓液回流』錯誤——合併水腦症時,垂頭(頭低位)會增加顱內壓、加重水腦,且體位目的是保護囊袋而非促脊髓液回流,應採俯臥並維持適當頭部高度避免顱壓上升,故選 A。核心在保護囊袋且避免頭低位加重顱內壓。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"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":28,"stem":29,"number":10,"year":9,"session":22},"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？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"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":22},"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":22},"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":22},"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？",6,1783840738251]