[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-035":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-113-1-產兒科護理學-035","nurse-113-1-maternal-pediatric-035",113,1,35,"小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"為防止腸道受損，應避免測量肛溫","初期觀察小敏是否會出現活動力下降、體溫不穩及呼吸窘迫等症狀","立即禁食，給與全靜脈營養","護理評估發現腸蠕動減慢，嘔吐物不含膽汁","D",null,[],"本題考點在於壞死性腸炎(NEC)的臨床表現與處置,屬反向題,選最不適當者。錯誤敘述為D:NEC典型腸胃徵象是腸蠕動減弱或消失、腹脹,且胃殘留或嘔吐物常「含膽汁」(膽汁樣嘔吐),題目說嘔吐物不含膽汁不符典型表現,故選D。A適當:應避免測肛溫,因可能刺激或穿破脆弱發炎的腸壁。B適當:早期非特異徵象包括活動力下降、體溫不穩、呼吸窘迫與餵食耐受不良。C適當:確診處置為立即禁食(NPO)、腸道休息並給予全靜脈營養(TPN)。辨識關鍵在NEC嘔吐物含膽汁,故「不含膽汁」為錯誤。",[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？",6,1783840795811]