[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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,"explanationDeep":22,"topics":23,"freq":10},"nurse-106-2-產兒科護理學-023","nurse-106-2-maternal-pediatric-023",106,2,23,"有關產後腸蠕動功能的評估，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"以聽診器在腹部的四個象限評估","正常的腸蠕動音為每分鐘 5 至 34 次","叩診時出現鼓音表示腸蠕動良好","產後腹壓減少會減緩腸蠕動","C",null,[],"本題考點為產後腸蠕動評估技巧,屬找錯誤題。叩診腹部出現鼓音(tympany)代表腸道內有氣體,反映的是脹氣,並非「腸蠕動良好」;腸蠕動的直接依據應為聽診腸鳴音,故C敘述錯誤為答案。A以聽診器分四象限評估腸鳴音,方法正確;B正常腸鳴音每分鐘約5～34次,數值正確;D產後腹腔壓力驟減、腹肌鬆弛及黃體素影響使腸蠕動變慢,敘述正確。判準在於區分「叩診鼓音=氣體」與「聽診腸鳴音=蠕動」。","腹部評估四步驟為視、聽、叩、觸,其中聽診須在叩診與觸診之前進行,以免刺激改變腸鳴音。鼓音為含氣中空器官(腸胃)的叩診音,濁音則見於實質器官或積液。產後腸蠕動變慢還受臥床、脫水、疼痛與麻醉影響,易致便秘。口訣:蠕動靠聽腸鳴,叩診只辨氣或水。",[24,26,29,31],{"term":25,"count":10},"腹部評估順序",{"term":27,"count":28},"腸鳴音",1,{"term":30,"count":28},"叩診鼓音",{"term":32,"count":28},"產後腸蠕動",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-024","林女士採陰道生產，會陰四度裂傷。在產後第 2 天可以教導她執行何項產後運動？",24,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-maternal-pediatric-040","有關急性骨盆腔炎婦女的照護措施，下列何者錯誤？",40,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-maternal-pediatric-054","根據兒童及少年福利與權益保障法（2015），醫事人員發現兒童遭受猥褻行為或性交，需於多久時間內通報主管機關？",54,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-maternal-pediatric-012","第二產程胎頭娩出時，為了減少會陰部撕裂傷，下列措施何者較不適當？",12,109,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-110-1-maternal-pediatric-056","早產兒常出現呼吸暫停現象，下列敘述何者正確？",56,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-010","妊娠 36 週時，腹部四段式觸診觸得胎位是 LOA，則評估胎心音時，超音波胎音器（doppler）應放在何處，會聽得最清楚？",10,111,"2026-09-04",1788510699256]