[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-107-1-產兒科護理學-036","nurse-107-1-maternal-pediatric-036",107,1,36,"有關以腹腔鏡進行子宮肌瘤切除前後的照護措施，下列何者錯誤﹖",{"A":14,"B":15,"C":16,"D":17},"手術前皮膚準備應清洗肚臍","手術中應維持頭高腳低臥式","術後禁食 6～8 小時即可進食","術後肩背部疼痛，可給局部按摩","B",null,[],"本題考點在腹腔鏡子宮肌瘤切除術前後照護，找出錯誤者。依腹腔鏡手術原則，骨盆腔手術術中多採頭低腳高（Trendelenburg）臥位，使腸道向上移離骨盆、利於骨盆腔視野與操作，故『維持頭高腳低臥式』方向錯誤，選 B。A 正確，肚臍為腹腔鏡主要穿刺孔位置，術前皮膚準備須徹底清洗肚臍以降低感染。C 正確，腹腔鏡創傷小、腸道干擾少，術後多可於禁食 6–8 小時、確認無噁心並排氣後漸進進食。D 正確，腹腔鏡灌注的二氧化碳殘留刺激橫膈與膈神經可致轉移性肩背痛，給予局部按摩與活動有助排氣緩解，屬適當措施。","腹腔鏡骨盆腔手術體位：頭低腳高（Trendelenburg）＋氣腹（CO₂ 灌注），讓腸道因重力上移露出骨盆術野。術後肩背痛機轉：殘留 CO₂ 積於橫膈下刺激膈神經（C3–5）產生轉移痛，可藉早期活動、局部按摩、姿勢調整促氣體吸收排出而緩解。記憶：骨盆腔腹腔鏡＝頭低腳高看得到；肩痛＝殘餘 CO₂ 的膈神經轉移痛。本題陷阱在把常規『頭低腳高』寫反成『頭高腳低』。可連結概念：Trendelenburg 臥位、氣腹 CO₂、膈神經轉移性肩痛、腹腔鏡術後恢復。",[24,26,28,30],{"term":25,"count":10},"腹腔鏡手術體位",{"term":27,"count":10},"Trendelenburg 臥位",{"term":29,"count":10},"氣腹二氧化碳",{"term":31,"count":10},"膈神經轉移性肩痛",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-037","有關子宮肌瘤處置之敘述，下列何者正確？",37,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-053","在嬰幼兒期自閉症的症狀表現，易與下列何種障礙混淆？",53,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-067","小瑛，2 歲，入院時，護理師在進行呼吸系統評估時，聽到哮鳴音（Stridor），可能的原因為何？",67,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-025","有關母乳之敘述，下列何者正確？",25,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-069","小明，3 歲，罹患神經母細胞瘤，進行第一次化學治療需要裝置人工血管，有關人工血管的敘述，下列何者不適當？",69,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,112,"2026-09-04",1788510703610]