[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-062":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-062","nurse-108-2-maternal-pediatric-062",108,2,62,"彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抬高床頭 15～20 度，以減少顱內壓","密切監測出血徵狀，如血壓降低、血比容下降","觀察是否出現囪門膨出、頭圍增加等顱內壓升高現象","限制家屬探訪，避免造成感染","D",null,[],"本題考點為早產兒腦室內出血（IVH）的照護重點與顱內壓管理。依 IVH 病生理，出血會使顱內壓升高，故護理著重降壓與監測出血、觀察顱內壓徵象。A 抬高床頭 15～20 度利用重力促進靜脈回流、降低顱內壓，正確；B 監測血壓下降、血比容下降可早期發現持續出血，正確；C 觀察囪門膨出、頭圍增加是嬰兒顱內壓升高的典型指標，正確。錯在 D：IVH 屬缺氧與血管脆弱造成的出血，並非外來感染所致，限制家屬探訪既無法預防 IVH，也剝奪親子連結與安撫，反而不利，故 D 為錯誤措施，選 D。",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？",6,1783840759930]