[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-025":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-025","nurse-110-1-maternal-pediatric-025",110,1,25,"陳女士產後小便尚未自解，護理師評估結果為尿瀦留，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"聽診下腹部有囉音","叩診恥骨聯合上方處有鼓音","陳女士目前為產後 3 小時","觸診腹部子宮底的位置偏向右側","D",null,[],"本題考點是產後尿瀦留（urinary retention）的評估表徵。考點在於膀胱脹尿會將子宮向上並向右側推移，故觸診時發現子宮底位置偏離中線、偏向右側，是尿瀦留的典型表徵，故D正確。A錯在囉音（rales）是肺部聽診的呼吸音，與膀胱評估無關，膀胱脹尿聽診並無囉音。B錯在膀胱脹滿時恥骨聯合上方叩診應呈濁音（dullness，因內含尿液），而非空腔的鼓音。C錯在產後3小時仍在正常應解尿時間範圍內，一般以產後6至8小時未解尿或殘尿過多才判定尿瀦留，單以3小時無法定義。理解「脹尿使子宮右移、叩診濁音」的定位表徵是解題核心。",[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？",6,1783840762877]