[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-045":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-113-2-產兒科護理學-045","nurse-113-2-maternal-pediatric-045",113,2,45,"有關病童放置鼻胃管之護理照護，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"鼻胃管插入長度為由鼻尖至耳垂之直線距離","測試放置正確與否，可將鼻胃管末端浸入水中需出現氣泡","鼻胃管灌食的總量，不需考慮殘餘量","管灌結束後宜採右側半坐臥或坐姿，頭部抬高 30 度","D",null,[],"本題考點在於病童鼻胃管留置的照護技術。管灌結束後應維持頭部抬高、採半坐臥或坐姿約 30 分鐘至 1 小時，利用重力促進胃排空、減少胃食道逆流與吸入性肺炎的風險，故 D 較適當。A 錯，鼻胃管插入長度的測量為「鼻尖→耳垂→劍突」（NEX 測量法），而非僅「鼻尖至耳垂」，僅量到耳垂長度不足會使管端未達胃部。B 錯，將鼻胃管末端浸入水中看氣泡是「誤入呼吸道」的表現（不應出現氣泡代表在胃內），此法既不可靠亦非正確確認方式；確認位置應以抽取胃內容物測 pH 或影像為準。C 錯，管灌前應先反抽並評估胃殘餘量（residual volume），殘餘過多需延後或減量以防脹氣與逆流吸入，不可「不需考慮殘餘量」。本題須掌握鼻胃管長度測量、位置確認與灌食前後的安全照護原則。",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？",6,1783840796527]