[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-043":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-043","nurse-110-1-maternal-pediatric-043",110,1,43,"有關燒傷病童休克期最初 24 小時的處置措施，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"優先選擇乳酸林格氏液（lactated Ringer solution）補充液體","以皮下或肌肉注射給予止痛藥物，降低病童疼痛不適","提供高蛋白、高熱量飲食，以補充熱量與蛋白質耗損","照護重點是避免燒傷造成關節攣縮或變形後遺症","A",null,[],"本題考點是燒傷休克期（最初 24 小時）的優先處置。此期因大量體液滲漏至組織間隙導致低血容，考點在於液體復甦的選擇。依 Parkland 公式，休克期首要以晶體液補充血管內容積，首選乳酸林格氏液，故選 A。B 錯在休克期周邊循環差，皮下或肌肉注射止痛藥吸收不穩定，應採靜脈注射給藥。C 錯在急性期常有腸胃道功能受抑與代謝壓力，高蛋白高熱量飲食屬後續復原期重點。D 錯在預防關節攣縮變形屬復健期照護，非最初 24 小時焦點。故正解為 A。",[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？",6,1783840763038]