[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-108-1-產兒科護理學-013","nurse-108-1-maternal-pediatric-013",108,1,13,"蔡女士第一胎，因待產緊急狀況需進行剖腹產，醫師採用吸入性麻醉藥物進行全身麻醉，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"一般以吸入性麻醉藥物作為麻醉誘導用藥","使用吸入性麻醉藥物會影響子宮收縮，需注意產婦出血情況","全身麻醉法容易影響心血管系統，常發生低血壓情況","吸入性麻醉藥物為脂溶性易通過胎盤，可能抑制新生兒的神經行為","C",null,[],"本題考點是剖腹產全身麻醉的「錯誤」敘述辨識。相較於區域（脊髓／硬膜外）麻醉因交感神經被阻斷而「常發生低血壓」，全身麻醉的心血管特徵並非以低血壓為主；氣管插管與誘導反而常引發血壓上升、心跳加快，故C「全身麻醉常發生低血壓」的敘述不正確，為本題答案。A吸入性麻醉藥物本可用於麻醉；B揮發性吸入麻醉藥會鬆弛子宮平滑肌、影響子宮收縮而增加產後出血風險；D吸入麻醉藥脂溶性高、易通過胎盤而抑制新生兒神經行為，此三者皆屬正確敘述。故選C。","產科麻醉低血壓的典型元凶是「脊髓麻醉」——交感阻斷造成血管擴張、靜脈回流下降，故產婦常需預先給液並注意子宮左傾以避免主動脈腔靜脈壓迫。全身麻醉在產科的主要風險是插管困難、吸入性肺炎（飽胃）與新生兒抑制，而非低血壓。揮發性吸入麻醉劑（如sevoflurane）具劑量相關的子宮鬆弛作用，過深會導致子宮收縮乏力而出血，故胎兒娩出後常調降濃度並給宮縮劑。脂溶性藥物跨胎盤快，故從誘導到娩出時間（I–D interval）愈短，新生兒被抑制愈少。",[24,26,28,30],{"term":25,"count":10},"全身麻醉vs區域麻醉",{"term":27,"count":10},"脊髓麻醉致低血壓",{"term":29,"count":10},"吸入麻醉藥鬆弛子宮",{"term":31,"count":10},"藥物跨胎盤抑制新生兒",[33,37,42,47,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-014","胡女士子宮頸口全開，護理師協助產婦躺上產檯並準備生產，下列護理措施何者不合適？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"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？",30,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-044","有關護理師在醫院中運用治療性遊戲（Therapeutic play）的敘述，下列何者錯誤？",44,109,{"webId":48,"stem":49,"number":41,"year":50,"session":41},"nurse-110-2-maternal-pediatric-002","有關嬰兒正確含乳的注意事項，下列護理指導何者正確？",110,{"webId":52,"stem":53,"number":54,"year":55,"session":41},"nurse-111-2-maternal-pediatric-046","丁丁，3 歲，被家中養的母貓咬傷手背，傷口流血，疼痛哭泣，送至急診處理，下列處置何者錯誤？",46,111,{"webId":57,"stem":58,"number":59,"year":60,"session":41},"nurse-112-2-maternal-pediatric-080","小花，3 歲，因腦膜炎（Meningitis）導致顱內壓升高，不會出現下列何種臨床徵象？",80,112,"2026-09-04",1788510710325]