[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-107-2-產兒科護理學-013","nurse-107-2-maternal-pediatric-013",107,2,13,"王女士 G 2 P 1 ，在待產活動期時接受腰椎硬膜外麻醉，護理師發現王女士的血壓突然降低，下列護理措施何者最不適宜？",{"A":14,"B":15,"C":16,"D":17},"增加靜脈輸液輸入量","協助採左側躺","評估胎心率狀況","評估子宮收縮情況","D",null,[],"本題考點在硬膜外麻醉後低血壓的處置優先順序。硬膜外麻醉阻斷交感神經使血管擴張、靜脈回流減少而致低血壓，處置應針對回升血壓與維持胎盤灌流：增加靜脈輸液補充血容量（A 適宜）、採左側臥解除下腔靜脈壓迫改善回流（B 適宜）、評估胎心率確認胎兒有無缺氧（C 適宜）。D 評估子宮收縮情況與矯正低血壓無直接關聯，屬產程常規監測而非此急性低血壓的優先處置，故為「最不適宜」選項。本題要辨識低血壓當下應優先回復灌流與監測胎兒，故選 D。","硬膜外低血壓的病生理是交感阻斷造成周邊血管擴張＋仰臥時子宮壓迫下腔靜脈（仰臥低血壓症候群）雙重減少回心血量。處置四步：左側臥、快速靜脈輸液、必要時給升壓劑（如 ephedrine）、全程監測胎心率。子宮收縮評估雖屬產程照護，但無助於當下升壓，故為干擾選項。連結概念：交感神經阻斷、仰臥低血壓症候群、胎盤灌流、ephedrine。",[24,27,29,32],{"term":25,"count":26},"左側臥",7,{"term":28,"count":26},"胎盤灌流",{"term":30,"count":31},"交感神經阻斷",3,{"term":33,"count":34},"硬膜外麻醉低血壓",1,[36,40,45,49,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-maternal-pediatric-014","楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"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":46,"stem":47,"number":48,"year":44,"session":10},"nurse-108-2-maternal-pediatric-044","小妮及小美為幼稚園的玩伴，坐在地板互借遊戲器材或玩具一起玩，她們此時的遊戲特徵為何？",44,{"webId":50,"stem":51,"number":10,"year":52,"session":34},"nurse-110-1-maternal-pediatric-002","有關產婦接受腰椎硬膜外麻醉術可能發生的合併症，下列何者錯誤？",110,{"webId":54,"stem":55,"number":56,"year":57,"session":34},"nurse-111-1-maternal-pediatric-046","兒科護理重視以家庭為中心的照護，有關其基本觀念之一「賦權（empowerment）」的定義，下列敘述何者正確？",46,111,{"webId":59,"stem":60,"number":61,"year":62,"session":34},"nurse-112-1-maternal-pediatric-080","李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",80,112,"2026-09-04",1788510725740]