[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-079":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-079","nurse-106-2-maternal-pediatric-079",106,2,79,"小玲，出生 3 天，診斷為脊髓之脊髓膜膨出且合併有水腦症，有關其手術前的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"維持垂頭俯臥姿勢，以利脊髓液回流","協助其腿部呈外展，以預防髖關節脫位","選擇質軟小孔的奶嘴餵食，以預防吞食過量空氣","維持臀部及會陰部乾淨，以減少糞便污染膨出的囊","A",null,[],"本題考點在脊髓脊髓膜膨出(myelomeningocele)合併水腦症的術前照護,採反向題。術前照護重點是保護膨出囊袋不受壓破損:採俯臥、腿部外展防髖脫位(B 正確)、選軟奶嘴防吞入過多空氣(C 正確)、保持臀部會陰乾淨防糞便污染囊袋(D 正確)。A『維持垂頭俯臥姿勢以利脊髓液回流』錯誤——合併水腦症時,垂頭(頭低位)會增加顱內壓、加重水腦,且體位目的是保護囊袋而非促脊髓液回流,應採俯臥並維持適當頭部高度避免顱壓上升,故選 A。核心在保護囊袋且避免頭低位加重顱內壓。","脊髓膜膨出屬神經管缺損,神經組織裸露於囊袋,術前核心:俯臥或側臥避免囊袋受壓、覆蓋無菌濕潤敷料防乾裂與感染、遠離肛門端防糞尿污染、髖外展防脫位、監測神經功能與顱內壓(常合併水腦,可能需 V-P shunt)。頭低位會使顱內壓上升,在合併水腦時不利。記憶:『膨出囊要俯臥保護、保持濕潤無菌、防污染、別讓頭低壓升高』。葉酸不足是神經管缺損主因,孕前補葉酸可預防。",[24,27,29,31],{"term":25,"count":26},"脊髓脊髓膜膨出(myelomeningocele)",1,{"term":28,"count":26},"囊袋保護(俯臥\u002F無菌)",{"term":30,"count":26},"合併水腦與顱內壓",{"term":32,"count":26},"髖外展防脫位",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-080","雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-016","自然產的胎頭娩出後將進入下列何項分娩機轉？",16,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-030","李小弟出生第 2 天，無臉部表情與眼睛活動，呼吸規律，偶有驚嚇反應及突發的吸吮動作，此睡眠與活動狀態屬於那一期？",30,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-068","有關 4 歲兒童使用集尿袋收集常規尿液標本，下列敘述何者正確？",68,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-032","下列何者不適合使用麥角鹼類藥物（如 Ergonovine）來促進產後的子宮收縮？①妊娠糖尿病 ②前置胎盤 ③子癇前症 ④心臟疾病",32,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-066","為了增加法洛氏四重症（TOF）兒童的肺循環血流，以增加其左心充氧血的含量，下列照護處置何者錯誤？",66,111,"2026-09-04",1788510699840]