[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-072":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-111-2-產兒科護理學-072","nurse-111-2-maternal-pediatric-072",111,2,72,"小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"經鼻插入，長度由鼻尖到耳垂到劍突之長度為準","可接上空針並反抽，如有胃液，表示鼻胃管位置正確","灌食前，應以灌食空針反抽，評估是否有殘餘量，以了解消化吸收情形","鼻胃管灌食後鼓勵採左側臥以預防吸入性肺炎","D",null,[],"本題考點為食道氣管瘻管(TEF)患童放置鼻胃管的護理。TEF 因食道與氣管相通，灌食後採左側臥並非最佳，正確做法多為抬高頭部或右側臥以減少胃食道逆流與吸入風險，且此類患童鼻胃管能否順利放至胃部本身即受食道盲端影響，D 敘述採左側臥預防吸入性肺炎並不恰當，為答案。A 測量插入長度由鼻尖至耳垂至劍突為標準量法，正確；B 反抽見胃液可初步確認鼻胃管在胃內，正確；C 灌食前反抽評估殘餘量以了解消化吸收，屬常規正確步驟。考點在於辨識 TEF 灌食後體位擺放與一般鼻胃管照護的差異。",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？",6,1783840793611]