[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-020":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-020","nurse-114-3-maternal-pediatric-020",114,3,20,"有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"一律採剖腹生產來減少心臟負荷","產後絕對平躺休息以降低心臟負荷","產後 48 小時靜脈回流增加，需密切監測心臟功能","臨床分類為第一級的婦女不建議哺餵母乳","C",null,[],"本題考點在於心臟病孕婦生產與產後照護。正解 C：產後最初 24～48 小時，子宮胎盤循環消失、下肢與組織間液回流入血管，循環血量與靜脈回流驟增，是心臟負荷最重、最易發生心衰竭的時期，須密切監測。A 錯，生產方式應個別評估，陰道生產（必要時輔以器械縮短第二產程）通常比剖腹對心臟負擔更小，並非一律剖腹；B 錯，產後宜採半坐臥而非絕對平躺，以減少回心血量、減輕心臟負荷；D 錯，心功能第一級屬活動不受限，可正常哺乳。故選 C。",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？",6,1783840798210]