[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-110-2-產兒科護理學-025","nurse-110-2-maternal-pediatric-025",110,2,25,"白女士因胎兒窘迫接受剖腹生產，採腰椎硬膜外麻醉，有關於術後姿勢及其護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"採垂頭仰臥式，有助呼吸道分泌物引流","維持平躺 8 小時，避免腦脊髓液滲出","採辛氏臥位頭側向一邊，避免分泌物阻塞呼吸道","協助左側躺，以增加子宮的血液循環","D","第25題一律給分",[],"本題考點為剖腹產合併腰椎硬膜外麻醉的術後姿勢原則。依妊娠子宮對下腔靜脈的壓迫機轉，採左側臥可解除子宮對大血管的壓迫，增加靜脈回流與子宮及腎臟灌流，故選D。維持平躺8小時以防腦脊髓液滲出，是脊髓(蜘蛛膜下腔)麻醉腰椎穿刺後預防頭痛的作法，硬膜外麻醉未穿破硬膜，故B張冠李戴；垂頭仰臥式與辛氏臥位屬引流分泌物姿勢，並非此情境術後首要考量，故A、C不適當。","仰臥低血壓症候群(supine hypotensive syndrome)源於增大子宮壓迫下腔靜脈使回心血量驟減，左側臥或右臀墊高15至30度即可矯正。對比記憶：脊髓麻醉→穿破硬膜→術後頭痛(PDPH)風險→平躺補水；硬膜外麻醉→導管留置不破硬膜→PDPH罕見。左側臥同時利於惡露引流與傷口減壓。",[24,27,29,32],{"term":25,"count":26},"左側臥",7,{"term":28,"count":26},"硬膜外麻醉",{"term":30,"count":31},"仰臥低血壓症候群",5,{"term":33,"count":34},"脊髓麻醉後頭痛",1,[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-026","下列那一個新生兒篩檢項目為檢測性聯染色體隱性遺傳疾病？",26,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-maternal-pediatric-042","當發現 8 個月大的張小弟口中塞有異物，有意識、呼吸困難，下列措施何者最適當？",42,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-maternal-pediatric-056","小文，2 歲 6 個月，罹患慢性病長達一年，下列有關其壓力反應之敘述，何者最適當？",56,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-maternal-pediatric-014","婦女初次嘗試親餵母乳，向護理師表示：「我的乳頭是平的，還能親餵嗎？」，下列何項護理指導內容最適當？",14,112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":34},"nurse-114-1-maternal-pediatric-018","沐浴前將新生兒置於有磅秤紙的體重計進行體重量測，沐浴後以乾毛巾迅速擦乾其身體，此乃運用下列那些預防體熱喪失的機制？",18,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-maternal-pediatric-012","自然產後 4 小時，協助個案下床解尿後，觸診子宮為堅硬狀，子宮底與肚臍平並且置中。觀察產後棉片每 20 分鐘就濕透一片，並不斷流出鮮紅色物，當時血壓 90\u002F56 mmHg。下列敘述何者最適當？",12,115,"2026-09-04",1788510729828]