[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-048":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-048","nurse-113-1-maternal-pediatric-048",113,1,48,"有關兒童腦神經疾病導致的顱內壓升高（IICP），若無適切介入措施，常會造成兒童生命危險，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"可過度換氣讓動脈血中氧氣濃度（PaO2）維持在27～30 mmHg","應維持病童房間光線明亮，避免病童因頭昏跌倒","協助抬高床頭約30度，維持頭頸部自然平直","若有痰液，教導常做深呼吸咳嗽，避免積痰而缺氧","C",null,[],"本題考點在於兒童顱內壓升高(IICP)的護理措施。依降低顱內壓原則,應抬高床頭約30度並維持頭頸部中線自然平直,以促進腦部靜脈回流、降低顱內壓,故C正確。A錯:過度換氣目標是降低動脈二氧化碳(PaCO₂)使腦血管收縮,而非把氧氣PaO₂降到27～30 mmHg;讓PaO₂過低反而缺氧,選項數值與生理均錯。B錯:應維持環境安靜、光線柔和昏暗以減少刺激,明亮環境會增加刺激與顱內壓。D錯:不可鼓勵用力咳嗽或深呼吸用力動作,咳嗽、用力(Valsalva)會使胸腔與顱內壓上升,應避免。辨識關鍵在抬高床頭30度+頭頸中線。",[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？",6,1783840796040]