[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-080":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-080","nurse-111-1-maternal-pediatric-080",111,1,80,"張小妹，10 歲，罹患腦膜炎，出現顱內壓增高（Increased intracranial pressure, IICP），下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"監測有無便秘情形","監測有無噴射式嘔吐、認知改變","避免執行頭低腳高的姿位引流","執行背部扣擊或抽痰，以利呼吸道通暢","D",null,[],"本題考點為腦膜炎併發顱內壓增高（IICP）的護理措施，題目要選「不適當」者。IICP 照護原則是一切避免使腦部血流或腦脊髓液回流受阻、避免任何升高胸腹腔壓力的動作。依此原則，D 執行背部扣擊或抽痰會刺激咳嗽、憋氣並升高胸腔壓，使顱內壓進一步上升，屬不適當，故選 D。A 正確，需監測便秘，因用力解便（Valsalva 動作）會升高顱內壓應予預防。B 正確，噴射式嘔吐與認知改變是 IICP 的典型徵象需嚴密監測。C 正確，應避免頭低腳高姿位引流，以防腦部靜脈回流受阻。",[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？",6,1783840792935]