[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-014":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-110-1-產兒科護理學-014","nurse-110-1-maternal-pediatric-014",110,1,14,"有關脊髓阻斷（Spinal Block）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常用於減痛分娩，有效緩解第一產程產痛","在 L 4-5 或 L 5 -S 1 下針","麻醉前 30 分鐘須給予較多的靜脈輸液","麻醉後須平躺 3～4 小時，預防頭痛","C",null,[],"本題考點是脊髓阻斷（Spinal Block）麻醉的照護。考點在於脊髓麻醉會阻斷交感神經、使下肢血管擴張而易發生低血壓，故麻醉前約30分鐘須先以靜脈點滴預先補充較多液體（preloading）以維持血壓，故C正確。A錯在脊髓阻斷起效快、範圍固定，常用於剖腹產麻醉，減痛分娩則多採硬脊膜外阻斷。B錯在下針部位應在脊髓圓錐末端以下（約L3-4），以避免傷及脊髓，L5-S1並非典型部位。D錯在術後為預防脊髓穿刺後頭痛應採平躺並補充水分，時間界定也非固定3至4小時。理解「交感神經阻斷導致低血壓」是本題核心。",[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？",6,1783840762774]