[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-2-產兒科護理學-033","nurse-108-2-maternal-pediatric-033",108,2,33,"有關前置胎盤住院治療的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"執行陰道檢查","監測子宮收縮及胎心率","觀察陰道出血狀況","測量生命徵象","A",null,[],"本題考點在於前置胎盤(placenta previa)的護理禁忌。依前置胎盤的病生理,胎盤覆蓋於子宮下段近子宮頸內口,任何觸碰子宮頸的操作都可能撕裂血管、誘發無痛性大出血,故絕對禁止陰道內診與肛門檢查,選項A為錯誤措施。B監測子宮收縮與胎心率可及早察覺出血或胎兒缺氧,屬正確;C觀察陰道出血量、顏色是評估病情的核心指標;D測量生命徵象可監測失血性休克徵象,皆為適當護理。考點在於辨識「no vaginal exam」是前置胎盤住院照護的鐵律。","前置胎盤典型表現為妊娠後期無痛性鮮紅色出血,與胎盤早期剝離(abruptio placentae)的疼痛性暗紅出血相對。診斷靠超音波定位,絕不靠內診。若必須評估子宮頸,採double set-up(於備妥剖腹產與輸血條件下進行)。記憶對比:previa=painless bleeding、abruptio=painful bleeding。",[24,27,30,32],{"term":25,"count":26},"前置胎盤",7,{"term":28,"count":29},"陰道檢查禁忌",1,{"term":31,"count":29},"無痛性出血",{"term":33,"count":29},"超音波定位",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-maternal-pediatric-034","下列何者不是用來判斷孕婦是否破水的方法？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-maternal-pediatric-050","有關兒童白血病的敘述，下列何者正確？",50,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-maternal-pediatric-064","小東 8 個月，診斷為法洛氏四重症（Tetralogy of Fallot），哭鬧厲害全身發紺，此時護理師給予氧氣，並將小東擺為膝胸臥式之目的為何？",64,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-maternal-pediatric-022","王女士，從未避孕，產後出院前表示：「我暫時不想懷孕，可是不想避孕，覺得自然比較好。」下列敘述何者最適當？",22,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"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,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-113-1-maternal-pediatric-050","有關熱性痙攣（febrile convulsion）的敘述，下列何者最不適當？",113,"2026-09-04",1788510707129]