[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-046":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-046","nurse-113-2-maternal-pediatric-046",113,2,46,"王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"定時評估其疼痛型態，必要時依醫囑給與止痛劑","教導並協助定時翻身，以預防肺炎或肺部擴張不全","術後觀察肛門狹窄及糞便失禁合併症","提供高纖飲食以促進早期排便","D",null,[],"本題考點在於巨結腸症(Hirschsprung's disease)術後的飲食原則。巨結腸症因遠端腸段缺乏神經節細胞、無法蠕動而近端擴張,手術切除無神經節部位後,腸道吻合處需要時間癒合。本題為反向題,錯誤敘述為 D:此時提供高纖飲食反而增加糞便體積與腸道刺激,可能拉扯尚未穩固的吻合口,術後初期應採低渣飲食待腸道恢復,故 D 為錯誤選項、即答案。A 正確,術後疼痛評估與依醫囑給止痛屬常規照護;B 正確,定時翻身可預防術後臥床導致的肺擴張不全與墜積性肺炎;C 正確,肛門狹窄與糞便失禁正是此類肛門直腸吻合手術常見的長期合併症,須持續觀察。",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？",6,1783840796532]