[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-080":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-108-1-產兒科護理學-080","nurse-108-1-maternal-pediatric-080",108,1,80,"張小妹，4 個月大，被診斷水腦（Hydrocephalus），接受腦室腹膜分流（V-P shunt）手術，有關手術後護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"記錄頭圍變化，觸診前囟門有無膨出","觀察意識狀態及顱內壓增高徵象","植入引流管處，勿碰撞或擠壓，保持傷口乾燥","觀察引流管阻塞徵象是周圍皮膚出現紅、腫、熱","D",null,[],"本題考點在腦室腹膜分流（V-P shunt）術後的併發症辨識，須選出錯誤者。引流管阻塞會使腦脊髓液無法引流、導致顱內壓上升，其徵象為前囟門膨出、嘔吐、意識改變與頭圍增加，而周圍皮膚出現紅、腫、熱是感染的徵象，並非阻塞徵象，故選項 D 敘述錯誤，即為答案。選項 A 正確，應記錄頭圍變化並觸診前囟門有無膨出以評估顱內壓。選項 B 正確，須觀察意識狀態與顱內壓增高徵象。選項 C 正確，植入引流管處應避免碰撞擠壓並保持傷口乾燥。",[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？",6,1783840745831]