[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-078":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-078","nurse-110-1-maternal-pediatric-078",110,1,78,"小畢，5 歲，因騎腳踏車跌倒，頭撞到地板，出現頭痛、嘔吐的現象，送醫後緊急接受開顱手術，下列有關手術後護理何者不適當？",{"A":14,"B":15,"C":16,"D":17},"密切評估監測意識狀態與生命徵象","觀察有無顱內壓增高症狀，如頭痛、嘔吐、視力模糊等","協助小畢採頭低臀高的姿勢，以促進頭部傷口引流","提供安靜光線柔和的環境，並減少聲光刺激","C",null,[],"本題考點是開顱手術後預防顱內壓上升的護理,要挑出不適當者。考點在於術後應抬高床頭約 15～30 度以促進腦部靜脈回流、降低顱內壓,而頭低臀高會使血液鬱積於顱內、升高顱內壓,故『採頭低臀高姿勢以促進頭部傷口引流』不適當,選 C。選項 A 適當,密切監測意識與生命徵象可及早發現變化;B 適當,觀察頭痛、嘔吐、視力模糊等顱內壓增高徵象;D 適當,安靜柔和的環境可減少刺激與躁動。判斷關鍵在於顱內壓管理須抬高床頭而非頭低。",[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？",6,1783840763393]