[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-110-1-產兒科護理學-013","nurse-110-1-maternal-pediatric-013",110,1,13,"李女士待產時宮縮疼痛非常焦慮不安，下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"換氣過度可給予塑膠袋及 O 2 使用","利用集中注意力與意象法，減輕疼痛","利用音樂療法，促進放鬆減輕疼痛","讓待產婦浸泡於溫水中，達到肌肉鬆弛","A",null,[],"本題考點是待產婦焦慮致換氣過度的正確處置，屬找錯誤選項題。考點在於換氣過度（hyperventilation）會排出過多二氧化碳、造成呼吸性鹼中毒，正確做法是以紙袋或塑膠袋罩口鼻重複呼吸，把呼出的二氧化碳回吸以矯正鹼中毒；此時再併給氧氣並無矯正作用、方向不對，故A的「給予塑膠袋及氧氣使用」為錯誤措施。B集中注意力與意象法、C音樂療法、D溫水浸泡皆為減輕待產疼痛與促進放鬆的正確非藥物措施。理解「呼吸性鹼中毒需回吸二氧化碳」的酸鹼平衡機轉是本題核心。","換氣過度使動脈二氧化碳分壓（PaCO₂）下降、pH上升成呼吸性鹼中毒，臨床出現口周與手指麻木、頭暈、手足抽搐（因鹼中毒使游離鈣下降）。矯正原則是提高吸入二氧化碳濃度，故用紙袋回吸；額外給氧只提高氧分壓、對二氧化碳過低毫無幫助，反而延誤矯正。待產減痛可搭配呼吸調節法（如拉梅茲），引導規律慢呼吸避免過度換氣。非藥物減痛（意象法、音樂、水療、按摩）依疼痛閘門控制理論調節痛覺傳入，是待產照護的第一線。",[24,27,29,31],{"term":25,"count":26},"呼吸性鹼中毒",4,{"term":28,"count":26},"非藥物減痛",{"term":30,"count":10},"紙袋回吸二氧化碳",{"term":32,"count":10},"換氣過度手足抽搐",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-014","有關脊髓阻斷（Spinal Block）之敘述，下列何者正確？",14,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-030","張女士，妊娠 8 週，因陰道斷續性少量出血到門診檢查。主訴有嚴重的噁心和嘔吐，醫師初步評估子宮大小超過懷孕週數，hCG 值偏高，超音波掃描未看到胎兒影像。張女士最可能的情況是：",30,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-maternal-pediatric-044","有關新生兒搖晃症候群（Shaken Baby Syndrome）的敘述，下列何者錯誤？",44,111,{"webId":49,"stem":50,"number":42,"year":51,"session":42},"nurse-112-2-maternal-pediatric-002","丁女士 30 歲，G 1 P 0 ，懷孕 20 週，至門診產檢。懷孕前身體質量指數（BMI）為 20，懷孕後體重增加 3 公斤，宮底高肚臍上一橫指，詢問「肚子會不會太小？」護理師最合適的回答為何？",112,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-113-2-maternal-pediatric-026","1 歲 3 個月的幼兒通常可通過動作發展之項目，下列敘述何者較適當？",26,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-020","有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",20,114,3,"2026-09-04",1788510721683]