[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-011":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-114-3-產兒科護理學-011","nurse-114-3-maternal-pediatric-011",114,3,11,"有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"執行前先排空膀胱，採蝦米狀，穿刺入硬脊膜","常用的藥物有 Fentanyl、Bupivacaine（Marcaine）等","執行注射前需給予 D 5 W 500～1,000 c.c.","會影響第二產程用力及增加新生兒吸吮能力代號： 4101 頁次： 4－2","B",null,[],"本題考點在於腰椎硬膜外麻醉（epidural）的執行要點與用藥。正解 B：臨床常合併使用短效鴉片類 Fentanyl 與局部麻醉劑 Bupivacaine（Marcaine），以達減痛又保留部分運動功能。A 錯在硬膜外麻醉是將藥物注入硬脊膜「外腔」，不可穿破硬脊膜進入蜘蛛膜下腔（否則變成脊髓麻醉）；C 錯在術前預先灌注應給不含糖的晶體溶液（如生理食鹽水、林格氏液）以預防低血壓，而非 D5W；D 錯，硬膜外減痛可能延長或減弱第二產程用力感，且不會增加新生兒吸吮能力。故選 B。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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？",6,1783840798113]