[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-054":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-054","nurse-112-2-maternal-pediatric-054",112,2,54,"小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸呈現深快的庫斯莫爾氏呼吸（Kussmaul’s respiration）","周邊循環增加，使得四肢末梢脈搏變強","括約肌控制降低，造成大小便失禁","痛覺變遲鈍，視力最後消失","C",null,[],"本題考點為兒童生命末期的生理變化辨識。依瀕死期生理，隨中樞與自主神經功能衰退，括約肌張力下降導致大小便失禁，故選 C。A 錯在庫斯莫爾氏呼吸（Kussmaul）是代謝性酸中毒的深快代償呼吸，瀕死期常見的是陳施氏呼吸（Cheyne-Stokes）或臨終喉鳴等不規則呼吸型態。B 錯在瀕死時心輸出量下降、周邊循環減少，四肢末梢冰冷、脈搏變弱且不易觸得，而非增強。D 錯在感覺消失的順序一般是視覺先減退、聽覺最後消失，痛覺並非最先遲鈍且視力最後消失的敘述有誤。",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？",6,1783840794737]