[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":26},"nurse-106-2-產兒科護理學-074","nurse-106-2-maternal-pediatric-074",106,2,74,"林小妹，9 歲，診斷為闌尾炎（Appendicitis）預進行盲腸切除手術。有關手術前後的護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"術前持續評估疼痛型態，必要時給予口服非類固醇止痛劑（NSAID）","持續腹部評估，若腹部肌肉有不自主收縮而僵硬如木板，疑有腹膜炎的危險","術前宜禁食由靜脈點滴維持體液，術後試喝水無不適即可恢復進食","術後若有引流管留置，需採平躺姿位，以利引流及防止感染逆行向上擴散","B",null,[],"本題考點在闌尾炎(appendicitis)術前後照護與腹膜炎徵象辨識。持續腹部評估時,若腹肌不自主收縮、僵硬如木板(板狀腹),是腹膜炎(闌尾破裂)的危險徵象,選 B。A 錯:術前疑似闌尾炎不宜貿然給止痛掩蓋症狀,NSAID 恐增出血並遮蔽病情。C 錯:恢復進食應待腸蠕動恢復(排氣、腸音)才漸進由清流質開始,非試喝水即恢復。D 錯:留置引流管應採半坐臥(Fowler's)姿位利引流至骨盆低處並防感染上行,非平躺。核心在辨識板狀腹=腹膜炎警訊。","闌尾炎典型:轉移性右下腹痛(McBurney's point)、反彈痛、發燒、白血球上升。破裂致腹膜炎徵象:板狀腹(rigidity)、反彈痛加劇、腸音消失、持續高燒——為外科急症。術後照護:採半坐臥利引流與呼吸、腸蠕動恢復後漸進飲食、傷口與引流管照護。術前疑診不亂給止痛(以免遮蔽穿孔徵象),亦禁灌腸\u002F熱敷(恐促破裂)。記憶:『板狀腹=腹膜炎、半坐臥利引流、腸音回來才進食』。",[24,27,29,31],{"term":25,"count":26},"闌尾炎",1,{"term":28,"count":26},"腹膜炎(板狀腹\u002F腹肌強直)",{"term":30,"count":26},"半坐臥引流姿位",{"term":32,"count":26},"術後漸進飲食",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-075","有關先天性的氣管食道瘻管（Tracheoesophageal fistula）嬰兒，進行瘻管關閉及食道吻合術後之照護重點，下列敘述何者錯誤？",75,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-011","有關妊娠期婦女甲狀腺分泌功能變化的敘述，下列何者正確？",11,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-025","李女士 G 1 P 1 ，2 小時前因雙胞胎妊娠採剖腹生產，採硬脊膜外麻醉，剛剛自恢復室轉到產後病房，下列何者不是護理師應優先進行的評估項目？",25,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-027","有關新生兒髖關節脫臼的身體或姿勢表徵，下列何者錯誤？",27,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-061","有關呼吸道融合病毒（Respiratory Syncytial Virus, RSV）的敘述，下列何者錯誤？",61,111,"2026-09-04",1788510699786]