[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-054":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-109-1-產兒科護理學-054","nurse-109-1-maternal-pediatric-054",109,1,54,"協助病童接受腰椎穿刺檢查過程中，下列護理措施何者不恰當？",{"A":14,"B":15,"C":16,"D":17},"穿刺前應仔細評估病童有無顱內壓升高之徵象","穿刺時協助病童採半側臥、頭高腳低的舒適臥位","穿刺前後應監測病童是否有脊髓脫出的症狀產生","穿刺後教導病童平躺以減少頭痛及穿刺部位出血","B",null,[],"本題考點在於腰椎穿刺（LP）的正確擺位與安全評估。依穿刺解剖原理，欲拉開腰椎棘突間隙、方便針頭進入蜘蛛膜下腔，病童應採側臥並將膝蓋屈向胸部呈蝦米狀（胎兒姿勢），而非半側臥、頭高腳低，故 B 的臥位不恰當、為答案。A 穿刺前評估有無顱內壓升高徵象是必要的，因 IICP 為 LP 禁忌，貿然穿刺會因壓力差誘發腦疝。C 前後監測神經與呼吸變化，以偵測腦幹或脊髓受壓，屬合理措施。D 穿刺後採平躺，可降低腦脊髓液滲漏造成的低壓性頭痛並減少穿刺部位出血，符合脊椎穿刺後常規。三者皆恰當，唯 B 擺位錯誤。",[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？",6,1783840748320]