[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-080":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":10},"nurse-107-2-產兒科護理學-080","nurse-107-2-maternal-pediatric-080",107,2,80,"陳小弟，因腦瘤（brain tumor）接受手術，下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抬高床尾，增加腦部組織灌流","監測生命徵象及意識狀況","觀察傷口紅、腫、熱、痛現象","教導避免用力咳嗽或解便","A",null,[],"本題考點在於腦部手術後降低顱內壓的姿位護理。腦瘤術後應抬高「床頭」約 15~30 度以促進腦部靜脈回流、降低顱內壓,抬高床尾反而使頭部處於低位、增加顱內壓,故 A「抬高床尾以增加腦部組織灌流」錯誤,即為答案。B 監測生命徵象與意識狀況以早期偵測顱內壓升高,正確。C 觀察傷口紅、腫、熱、痛以偵測感染,正確。D 教導避免用力咳嗽或解便,以免瓦氏動作(Valsalva)瞬間升高顱內壓,正確。","顱內壓調控依 Monro-Kellie 假說:顱腔容積固定,腦組織、血液、腦脊髓液任一增加都會推升顱內壓。護理原則是促靜脈回流(抬床頭、頭頸正中不扭轉)、避免瓦氏動作(防用力解便、咳嗽)、控制發燒與躁動、避免缺氧與高碳酸血症。抬高床頭而非床尾,正是利用重力幫助顱內血液回流的關鍵。",[24,26,28,31],{"term":25,"count":10},"抬高床頭促靜脈回流",{"term":27,"count":10},"Monro-Kellie 假說",{"term":29,"count":30},"顱內壓升高照護",1,{"term":32,"count":30},"瓦氏動作(Valsalva)",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":30,"year":37,"session":30},"nurse-108-1-maternal-pediatric-001","王女士想了解溫柔生產的照護方式，下列護理指導何者錯誤？",108,{"webId":39,"stem":40,"number":41,"year":37,"session":10},"nurse-108-2-maternal-pediatric-017","有關基礎體溫的敘述，下列何者正確？",17,{"webId":43,"stem":44,"number":45,"year":46,"session":30},"nurse-109-1-maternal-pediatric-031","張女士目前子宮頸口開 6 公分，每 10 分鐘宮縮 2 次，每次持續 20 秒，宮縮壓力 10 mmHg，產程已持續 3 小時無進展。張女士顯得疲累，胎心音正常，下列臨床處置何者正確？",31,109,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-110-1-maternal-pediatric-069","小青，2 歲，罹患先天性甲狀腺功能低下（congenital hypothyroidism），下列敘述何者不適當？",69,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-2-maternal-pediatric-033","臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",33,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-067","王小弟因血紅素值 4.1 g\u002FdL 須輸血治療，下列敘述何者正確？",67,112,"2026-09-04",1788510726476]