[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":62},"內外科護理學","medical-surgical",{"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-109-1-內外科護理學-073","nurse-109-1-medical-surgical-073",109,1,73,"孕婦發生呼吸道梗塞的情況時，下列何種處置最適當？",{"A":14,"B":15,"C":16,"D":17},"腹戳法","胸戳法","刺激喉頭法","鼓勵孕婦多喝水","B",null,[],"本題考點在於孕婦異物哽塞的急救術式選擇。依哈姆立克急救原則，孕婦與極度肥胖者因腹部空間被子宮佔據、無法安全施以腹部推擠，故改採胸戳法（胸部按壓）於胸骨中央加壓，藉胸腔內壓瞬間上升將異物排出，兼顧胎兒安全，選 B。A 腹戳法會壓迫子宮與胎兒，孕婦禁用，故錯。C 刺激喉頭法並非哽塞排除的標準術式，無法產生驅出異物的壓力差，故錯。D 鼓勵多喝水在完全呼吸道梗塞時反而增加吸入嗆咳風險，且無法解除阻塞，故錯。整題核心是辨識孕婦這一族群對腹戳法的禁忌。","哈姆立克法（Heimlich manoeuvre）靠橫膈上推、肺內殘氣形成人工咳嗽驅出異物。孕婦、大腹肥胖者、嬰兒都因解剖限制改用胸戳法。口訣：「孕婦、胖子、嬰兒壓胸不壓肚」。嬰兒另加背部拍擊五下＋壓胸五下交替。清醒與昏迷者術式亦不同，昏迷改為心肺復甦並檢視口腔。",[24,26,27,29],{"term":25,"count":10},"哈姆立克急救法",{"term":15,"count":10},{"term":28,"count":10},"腹戳法禁忌",{"term":30,"count":10},"孕婦異物哽塞急救",[32,36,41,46,51,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-109-1-medical-surgical-074","有關監測敗血症病人液體療法之生理指標，下列何者最可能需調節輸液？",74,{"webId":37,"stem":38,"number":39,"year":40,"session":10},"nurse-110-1-medical-surgical-010","有關各種肝硬化的臨床表徵，下列何者錯誤？",10,110,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-110-2-medical-surgical-024","有關視網膜剝離病人的術後護理措施，下列何者錯誤？",24,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-111-2-medical-surgical-062","有關膀胱結石的治療與照護措施，下列何者錯誤？",62,111,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-medical-surgical-026","病人於化學治療後抽血報告顯示 WBC 3,000\u002FμL、Platelet 30,000\u002FμL、Hb 12g\u002FdL，下列照護措施何者最適宜？",26,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-medical-surgical-020","有關靜脈剝除結紮手術（stripping and ligation）術後照護之敘述，下列何者錯誤？",20,114,"2026-09-04",1788510712972]