[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-020","nurse-109-1-maternal-pediatric-020",109,1,20,"有關待產的麻醉藥物減痛之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"目前剖腹產常使用全身麻醉方式","腰椎硬膜外麻醉法施用於子宮頸口擴張 2 公分時","腰椎硬膜外麻醉法需要注意呼吸抑制及高血壓現象","腰椎硬膜外麻醉法針頭刺入部位為 L 3-4","D",null,[],"本題考點在於待產與生產麻醉減痛方式的正確敘述辨識。腰椎硬膜外麻醉的針頭穿刺部位常選在腰椎 L3–4 間隙，因此處位於脊髓圓錐末端以下，可降低傷及脊髓的風險，故 D 正確。A 目前剖腹產以區域麻醉為主流，全身麻醉多保留給緊急或有禁忌者，與現況不符，故錯。B 硬膜外麻醉一般於進入活動期後施行，而非固定於擴張 2 公分時，過於絕對，故錯。C 硬膜外麻醉因交感阻斷主要造成低血壓而非高血壓，且呼吸抑制非其典型主要風險，方向錯誤，故錯。核心在辨識穿刺部位 L3–4 的解剖安全考量。","脊髓約終止於 L1–L2（脊髓圓錐），故腰椎穿刺與硬膜外置管選 L3–4 或 L4–5 以避開脊髓。硬膜外麻醉主要併發症為交感阻斷性低血壓、置管相關頭痛與局部感染。剖腹產首選區域麻醉可讓母親清醒、減少胎兒藥物暴露。記憶：「L3–4 進針，避開脊髓圓錐；硬膜外掉血壓不掉呼吸」。",[24,27,30,32,34],{"term":25,"count":26},"硬膜外麻醉",7,{"term":28,"count":29},"區域麻醉",3,{"term":31,"count":10},"L3-4 穿刺部位",{"term":33,"count":10},"脊髓圓錐",{"term":35,"count":10},"交感阻斷低血壓",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-021","產後 6～10 天心跳次數較孕前減緩，最可能的原因為何？",21,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-109-2-maternal-pediatric-037","下列何者不屬於後天免疫缺乏症候群（AIDS）之伺機性感染？",37,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-maternal-pediatric-051","小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",51,110,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-111-2-maternal-pediatric-009","懷孕 24 週婦女，孕前 BMI 為 23，目前體重比孕前增加 5 公斤，血色素（Hb）＝11.2 g\u002FdL，血比容（Hct）＝35%，目前飲食指導內容，下列何者除外？",9,111,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-112-2-maternal-pediatric-053","有關慢性疾病兒童與家庭的照護原則，下列敘述何者不適當？",53,112,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-113-3-maternal-pediatric-017","護理人員使用新貝拉（New Ballard Score）量表，進行四位出生第 3 小時的新生兒成熟度評估，下列那位新生兒可能為早產兒？",17,113,"2026-09-04",1788510713258]