[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-110-2-產兒科護理學-065","nurse-110-2-maternal-pediatric-065",110,2,65,"小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"集中護理、安撫小倫情緒，並減少哭泣","避免便秘造成閉氣用力，增加心臟負擔","宜選用柔軟、吸食洞孔稍大的奶嘴餵奶","每次餵食時間不宜太短，應超過 30 分鐘","D",null,[],"本題考點是法洛氏四重畸形(TOF)嬰兒維持組織灌流的護理。考點在於減少耗氧、避免缺氧發作(tet spell)並確保足夠營養。選項D「每次餵食時間應超過30分鐘」不適當，餵食過久會增加耗氧與體力消耗、加重心臟負擔，反而應縮短並分次餵食，故為答案。A集中護理、安撫情緒、減少哭泣，可降低耗氧與避免誘發缺氧發作，正確；B避免便秘閉氣用力(Valsalva)以免增加心臟負擔，正確；C選用柔軟、洞孔稍大的奶嘴讓嬰兒省力吸吮，減少餵食耗氧，正確。三者皆以「省力、減耗氧」為原則，唯D延長餵食時間與此相悖。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840767033]