[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-045":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-108-2-產兒科護理學-045","nurse-108-2-maternal-pediatric-045",108,2,45,"小明，1 歲，罹患主動脈狹窄症（coarctation of the aorta）而入院，下列何者不是其症狀？",{"A":14,"B":15,"C":16,"D":17},"上肢血壓比下肢高","肺血管阻力升高而有發紺現象","常主訴頭痛、暈眩","股動脈搏動較弱，甚至摸不到","B",null,[],"本題考點在於主動脈狹窄(coarctation of the aorta)的臨床表現與分流性質。依此病的解剖病生理,狹窄位於主動脈弓遠端,狹窄前(上肢、頭頸)血流灌壓高、狹窄後(下肢)灌流不足,故出現上肢血壓高於下肢、股動脈搏動微弱甚至摸不到、上半身高血壓引起頭痛暈眩,A、C、D皆為正確症狀。錯誤者為B:主動脈狹窄屬非發紺型(acyanotic)先天性心臟病,並無肺血管阻力升高造成發紺的機轉,發紺是右到左分流病變(如法洛氏四重畸形)的表現。考點在於辨識主動脈狹窄「上高下低、不發紺」的特徵。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"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":32,"stem":33,"number":34,"year":27,"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":36,"stem":37,"number":38,"year":27,"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":40,"stem":41,"number":42,"year":27,"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":44,"stem":45,"number":46,"year":27,"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？",6,1783840759799]