[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-013":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-107-1-產兒科護理學-013","nurse-107-1-maternal-pediatric-013",107,1,13,"有關硬腦膜外減痛分娩的使用機轉與時間之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"麻醉劑需同時注射於硬膜外腔與蜘蛛膜外腔","進行減痛分娩最佳時機是子宮頸口開 1 公分時","減痛分娩主要是阻斷腰部的交感神經","感覺神經和運動神經皆被阻斷","C",null,[],"本題考點在硬膜外（epidural）減痛分娩的作用機轉。依麻醉解剖，硬膜外麻醉將局部麻醉劑注入硬膜外腔，主要阻斷經此通過的脊神經根，減少子宮與產道疼痛傳導，並伴隨阻斷腰部交感神經，故 C 正確。A 錯在硬膜外麻醉只注入硬膜外腔，不會同時注入蜘蛛膜下腔（同時注入是脊硬聯合，且蜘蛛膜『外』腔用詞本身錯誤）。B 錯在最佳時機並非開 1 公分，一般在進入活動期、規則宮縮且產程確立後給予較適當，過早可能延緩產程。D 錯在理想的減痛分娩追求感覺神經阻斷而盡量保留運動神經，使產婦仍能用力，若運動神經全被阻斷反不利第二產程用力。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840741294]