[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-074":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-111-1-產兒科護理學-074","nurse-111-1-maternal-pediatric-074",111,1,74,"咚咚，4 個月大，疑似泌尿道感染（urinary tract infection）住院，經排尿性膀胱尿道攝影（Voiding cystourethrogram, VCUG）檢查，確認為第三級，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"屬輕微的尿液逆流，不需治療會自行痊癒","出院後每 3 個月做 1 次尿液培養至少 1 年","宜限制水分攝取，避免發生低血鉀","安排開刀，避免尿液大量逆流，造成腎臟損傷","B",null,[],"本題考點在於膀胱輸尿管逆流（VUR）分級與處置原則。依國際分級，第三級屬中度逆流，輸尿管與腎盂已擴張但尚未嚴重扭曲，治療原則以預防性抗生素加長期追蹤為主，需定期做尿液培養監測有無反覆感染，故選 B（每 3 個月培養 1 次至少 1 年）。A 錯在把第三級當成第一、二級的輕度逆流，中度以上不會單靠自癒且仍需介入。C 錯在腎病症候群才需控水，VUR 反而應鼓勵足量水分沖洗尿路，低血鉀也非本症重點。D 錯在手術多保留給第四、五級或反覆感染合併腎損傷者，第三級並非首選開刀。",[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？",6,1783840792860]