[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-109-1-產兒科護理學-016","nurse-109-1-maternal-pediatric-016",109,1,16,"李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",{"A":14,"B":15,"C":16,"D":17},"減輕噁心嘔吐","預防血壓過低","減輕頭痛現象","加速產程進展","B",null,[],"本題考點在於硬脊膜外麻醉前預先靜脈灌注晶體溶液的生理目的。腰椎硬脊膜外阻斷會阻斷交感神經、造成周邊血管擴張與靜脈回流減少，易發生低血壓；因此麻醉前先給予林格氏液 500 c.c. 進行預先擴容，維持有效循環血量以預防血壓過低及隨之而來的胎盤灌流不足，故選 B。A 減輕噁心嘔吐並非預先給液的主要目的，故錯。C 頭痛（如脊髓穿刺後頭痛）與腦脊髓液滲漏有關，非靠事前補液預防，故錯。D 靜脈補液並不能加速產程進展，故錯。核心在辨識硬膜外麻醉造成交感阻斷性低血壓，故以晶體液預先擴容維持血壓。","硬脊膜外麻醉阻斷交感節前纖維→血管擴張、血壓下降，可致子宮胎盤灌流不足與胎心音減速。預防策略：事前擴容（preload）晶體液、左側傾臥避免仰臥低血壓症候群、必要時用升壓劑（如 ephedrine）。林格氏液屬等張晶體液，補充血管內容積。記憶：「硬膜外→交感掉→血壓掉，先灌水頂住」。",[24,27,30,33,35],{"term":25,"count":26},"胎盤灌流",7,{"term":28,"count":29},"交感神經阻斷",3,{"term":31,"count":32},"硬脊膜外麻醉",2,{"term":34,"count":10},"低血壓預防",{"term":36,"count":10},"晶體液擴容",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-1-maternal-pediatric-017","承上題，第二產程用力時，胎心率出現早發性減速的原因為何？",17,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-109-2-maternal-pediatric-033","有關懷孕期 TORCH 感染的項目，下列何者錯誤？",33,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-maternal-pediatric-047","早產兒吸吮力弱，有關使用口胃管灌食的注意事項，下列敘述何者不適當？",47,110,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-111-2-maternal-pediatric-005","李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",5,111,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-112-2-maternal-pediatric-049","依據皮亞傑（Piaget）認知發展理論，有關具體運思期兒童對疾病的概念，下列敘述何者最適宜？",49,112,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-113-3-maternal-pediatric-013","有關哺乳期各種避孕法，下列敘述何者錯誤？",13,113,"2026-09-04",1788510713206]