[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-038":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-038","nurse-113-1-maternal-pediatric-038",113,1,38,"陳小弟，5歲，罹患扁桃腺炎（tonsillitis），接受扁桃腺切除手術（tonsillectomy），下列術後護理何者正確？",{"A":14,"B":15,"C":16,"D":17},"預防肺擴張不全，鼓勵深呼吸、用力咳嗽","注意觀察是否有吞嚥或清喉嚨次數增加","局部熱敷或提供熱食，促進傷口血液循環","提供含維生素C飲料（如檸檬汁），促進傷口癒合","B",null,[],"本題考點在於扁桃腺切除術(tonsillectomy)後的出血觀察與傷口照護。依術後照護原則,最重要的是觀察是否有出血徵象,而頻繁吞嚥或清喉嚨動作是後咽壁血液流下所致,為出血的早期警訊,故B正確。A錯:不可鼓勵用力咳嗽或清喉嚨,這類動作會刺激傷口引發出血,應避免。C錯:不可局部熱敷或給熱食,熱會使血管擴張增加出血風險,術後應給冷、涼、軟質飲食。D錯:不宜給檸檬汁等酸性或含維生素C的刺激性飲料,酸性刺激傷口且紅色飲料會混淆出血判斷。辨識關鍵在「頻頻吞嚥=可能在吞血」。",[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？",6,1783840795956]