[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-079":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":26},"nurse-107-1-產兒科護理學-079","nurse-107-1-maternal-pediatric-079",107,1,79,"王小弟，4 週大，因幽門狹窄（pyloric stenosis）接受幽門切開術（pyloromyotomy）。下列有關護理措施之敘述，何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"術前監測嘔吐物質與量、輸出入量、尿比重","術前協助矯正嘔吐造成的代謝性鹼中毒","術後避免餵食過快，常予拍背排氣","術後餵食，宜採左側平躺方式","D",null,[],"本題考點在於幽門狹窄行幽門切開術（pyloromyotomy）前後的護理。依術後餵食擺位原則，應採頭高、右側臥或半坐臥，藉重力促進胃內容物往幽門與十二指腸排空、減少嘔吐與吸入，故 D 主張「術後餵食宜採左側平躺」為錯誤敘述，選 D。A 正確：術前應監測嘔吐的性質與量、輸出入量與尿比重以評估脫水。B 正確：持續嘔吐胃酸會流失氫離子與氯離子，造成低血氯低血鉀性代謝性鹼中毒，術前須先矯正水電解質。C 正確：術後採少量、緩慢餵食並拍背排氣，避免嘔吐與傷口張力。","幽門狹窄的典型病生理是幽門肌肥厚造成出口阻塞，出現進行性、噴射狀非膽汁性嘔吐，長期嘔吐胃液使身體流失 HCl，導致低血氯、低血鉀性代謝性鹼中毒，這是術前必先以靜脈點滴矯正、不可帶著電解質不平衡進開刀房的原因。手術僅切開肥厚肌層、不切黏膜，術後腸胃道很快恢復，餵食策略是「少量、漸進、慢餵、常排氣、頭高右側臥」，讓奶水順著重力通過已鬆開的幽門。左側臥會讓胃內容物滯留於胃體、增加逆流嘔吐機會，故為錯。記憶點：胃出口在右側，餵完就讓寶寶「右側頭高」把奶送出去。",[24,27,29,31],{"term":25,"count":26},"代謝性鹼中毒",2,{"term":28,"count":10},"幽門狹窄",{"term":30,"count":10},"術後餵食擺位",{"term":32,"count":10},"右側臥促胃排空",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-080","有關妥瑞氏症候群（Tourette's syndrome），下列敘述何者正確？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-maternal-pediatric-016","有關剖腹產的敘述，下列何項錯誤？",16,108,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-108-2-maternal-pediatric-030","有關協助子宮復舊的產後運動，下列何者錯誤？",30,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-maternal-pediatric-068","9 歲的小君，診斷白血病（leukemia），目前接受化學治療，其血液檢驗數值嗜中性白血球計數為 800\u002Fmm 3 ，有關護理措施，下列敘述何者不適當？",68,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-032","有關患有心臟病的孕婦最易發生心臟衰竭的時期，下列何者錯誤？",32,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-066","小宇，10 歲，患有主動脈狹窄（Coarctation of the Aorta, COA），入院時可能出現的臨床表徵，下列敘述何者不適當？",66,112,"2026-09-04",1788510703997]