[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-079":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-079","nurse-110-1-maternal-pediatric-079",110,1,79,"張小弟，5 個月，因水腦症入院，為預防顱內壓升高，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"密切觀察有無囟門鼓脹或噴射狀嘔吐現象","抬高床頭 30～45 度，以降低腦內壓","術後每 2 小時協助叩擊與抽痰，以預防吸入性肺炎","給予安撫奶嘴以減少哭泣不安","C",null,[],"本題考點是水腦症病童預防顱內壓升高的護理,要挑出不適當者。考點在於叩擊與抽痰屬強烈刺激,會引發咳嗽與屏氣而使顱內壓上升,不宜作為常規每 2 小時例行執行,故選 C。選項 A 適當,囟門鼓脹與噴射狀嘔吐是嬰兒顱內壓增高的重要徵象,須密切觀察;B 適當,抬高床頭 30～45 度有助靜脈回流、降低腦內壓;D 適當,給安撫奶嘴減少哭鬧可避免因用力屏氣造成顱內壓上升。判斷關鍵在於避免會誘發顱內壓升高的刺激性操作。",[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？",6,1783840763399]