[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-049":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-049","nurse-108-2-maternal-pediatric-049",108,2,49,"小明，8 個月大，疑似患有胃食道逆流（gastroesophageal reflux, GER）接受多項診斷檢查，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"食道鏡檢查，可以確認逆流量的多寡","上腸胃道攝影術，需喝下含顯影劑的牛奶","腹部超音波掃描，確認食道炎的位置","24 小時食道酸鹼值測定，是最準確的診斷方法代號：4106 頁次：8－6","D",null,[],"本題考點在於嬰兒胃食道逆流(GER)的診斷檢查判讀。依各項檢查的目的,24小時食道pH監測能連續記錄食道下端酸鹼變化,直接量化酸性逆流的頻率與時間,被視為診斷病理性逆流最準確(gold standard)的方法,故選D。A錯:食道鏡主要用於直視食道黏膜與評估食道炎程度、取檢體,無法量化「逆流量多寡」;B對機轉描述不精確,上腸胃道攝影是喝下鋇劑或造影劑觀察解剖結構與逆流,並非確診工具但選項D更為正確且題目取最準確者;C錯:腹部超音波無法確認食道炎位置。考點在於辨識24小時食道pH監測是逆流診斷的金標準。",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？",6,1783840759823]