[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-031":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-112-2-產兒科護理學-031","nurse-112-2-maternal-pediatric-031",112,2,31,"江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",{"A":14,"B":15,"C":16,"D":17},"為深層血栓靜脈炎，應教導其在左小腿疼痛處多熱敷並按摩","霍曼氏徵象（Homan’s sign）若為陽性反應，依醫囑給予抗凝血劑，並密切觀察出血情形","霍夫曼技術（Hoffman’s technique）評估為陽性，應抬高床尾，避免血栓造成肺栓塞","為深層血栓靜脈炎，鼓勵多下床活動以促進血液回流","B",null,[],"本題考點為深層靜脈栓塞（DVT）的評估與處置。江女士久站合併靜脈曲張，產後小腿伸直時疼痛、觸診壓痛，屬 DVT 高風險表現。考點在於霍曼氏徵象（Homan's sign，背屈踝關節誘發小腿疼痛）若為陽性，應依醫囑給予抗凝血劑並密切觀察出血情形，故選 B。A 錯誤，DVT 禁止按摩患肢，以免血栓脫落引發肺栓塞；C 錯誤，霍夫曼技術（Hoffman's technique）是矯正凹陷乳頭的方法，與 DVT 無關；D 錯誤，DVT 急性期不應鼓勵下床活動患肢，以免栓子脫落。",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？",6,1783840794531]