[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":66},"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-108-2-產兒科護理學-032","nurse-108-2-maternal-pediatric-032",108,2,32,"承上題，護理師的處置下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"採左側臥","調快點滴","調增催產素","面罩給氧","C",null,[],"本題考點在於胎兒窘迫(fetal distress)的宮內復甦處置原則。依胎兒缺氧的處理邏輯,目標是增加子宮胎盤灌流與胎兒供氧,並移除加重缺氧的因素。左側臥可解除下腔靜脈受壓、增加回心血量與胎盤灌流;調快點滴可擴充母體血容量、改善灌流;面罩給氧提高母血含氧,三者皆屬正確措施。催產素(oxytocin)會強化子宮收縮,收縮期間胎盤血流本就中斷,調增只會延長並加重胎兒缺氧,與復甦目標背道而馳,故不適當者為C。考點在於辨識「停用或減量催產素」才是胎兒窘迫的正解方向。","子宮收縮時螺旋動脈血流暫停,胎兒靠收縮間歇再灌流。催產素過度刺激造成宮縮過頻(tachysystole)會縮短間歇、累積缺氧,故窘迫時須停藥。宮內復甦口訣:左側臥、給氧、擴容、停催產素、必要時給子宮鬆弛劑(如terbutaline)。對照晚期減速(late deceleration)反映子宮胎盤功能不足,正是本題情境的典型判讀依據。",[24,27,30,33,35],{"term":25,"count":26},"左側臥",7,{"term":28,"count":29},"胎兒窘迫",6,{"term":31,"count":32},"宮內復甦",3,{"term":34,"count":10},"子宮胎盤灌流",{"term":36,"count":37},"催產素oxytocin",1,[39,43,48,52,57,62],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-108-2-maternal-pediatric-033","有關前置胎盤住院治療的護理措施，下列何者錯誤？",33,{"webId":44,"stem":45,"number":46,"year":47,"session":37},"nurse-109-1-maternal-pediatric-049","林小弟，13 歲，學校體檢時發現上肢血壓高，鼠蹊脈搏較上肢脈搏微弱，主訴頭痛，常常感覺腳部冰冷，林小弟可能罹患下列何種疾病？",49,109,{"webId":49,"stem":50,"number":51,"year":47,"session":10},"nurse-109-2-maternal-pediatric-063","有關罹患心臟病嬰兒的護理照護，下列何者最適當？",63,{"webId":53,"stem":54,"number":55,"year":56,"session":37},"nurse-111-1-maternal-pediatric-021","教導產婦執行產後運動時，膝胸臥式的主要目的為何？",21,111,{"webId":58,"stem":59,"number":60,"year":61,"session":37},"nurse-112-1-maternal-pediatric-065","菲菲，2 歲，罹患法洛氏四重症（Tetralogy of Fallot, TOF），出院後仍需每 12 小時服用毛地黃（Digoxin）一次，下列護理指導何者錯誤？",65,112,{"webId":63,"stem":64,"number":46,"year":65,"session":37},"nurse-113-1-maternal-pediatric-049","小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",113,"2026-09-04",1788510707118]