[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-047":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-114-2-產兒科護理學-047","nurse-114-2-maternal-pediatric-047",114,2,47,"關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"由鼻管餵食，以提供足夠熱量","禁止口咽抽吸分泌物，以防刺激嘔吐反射","頭部抬高 45～60 度，降低胃液逆流","避免吸奶嘴，以減少吸入空氣","C",null,[],"本題考點在於先天性食道閉鎖合併遠端氣管食道瘻管的術前護理原則，核心是防止分泌物與胃液逆流進入呼吸道造成吸入性肺炎。依此原則，將頭部抬高 45～60 度可利用重力降低胃酸經瘻管逆流入氣管的機會，故 C 最適當為答案。A 錯，食道為盲端且有瘻管，鼻胃管無法通過、經口餵食會積聚於盲囊並溢入氣管，術前應禁食；B 錯，恰應「持續或間歇口咽及盲囊抽吸」以清除唾液分泌物、避免積聚吸入，而非禁止抽吸；D 錯，禁食狀態下本就不予奶嘴餵食，且吸入空氣並非此症術前的主要風險，重點在防吸入分泌物與胃液。",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？",6,1783840797986]