[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-111-1-產兒科護理學-024","nurse-111-1-maternal-pediatric-024",111,1,24,"李女士，採脊髓阻斷麻醉剖腹產，產後第 1 天主訴噁心感，起床的時候頭很痛，躺下頭痛就好些。下列何項護理指導較適當？",{"A":14,"B":15,"C":16,"D":17},"說明是因為禁食較久，導致胃不適與血糖低，建議進食","說明是腦脊髓液不平衡，建議暫時頭不抬高平躺並補充水分","說明是麻醉藥的關係，等藥代謝後會緩解，提供檸檬水緩解噁心感","評估新生兒照顧能力，可能是擔心能力不足太過焦慮引起","B",null,[],"本題考點為脊髓麻醉後頭痛(PDPH)的辨識與護理。個案採脊髓阻斷麻醉,出現起身加劇、平躺緩解的姿位性頭痛併噁心,是典型腦脊髓液自硬脊膜穿刺處滲漏、腦壓下降牽扯腦膜所致的脊髓麻醉後頭痛,護理指導應為平躺並補充水分(增加腦脊髓液生成),故B正確。A歸因禁食低血糖無法解釋姿位性特徵;C歸因麻醉藥殘留亦與體位相關性不符;D歸因焦慮忽略明確的病生理表現,故均錯誤。","PDPH特徵為坐起或站立時前額或枕部頭痛、平躺數分鐘緩解,常伴噁心、頸僵、畏光。處置:臥床、補水、咖啡因(收縮腦血管),嚴重且持續者以自體血補綴(epidural blood patch)封住滲漏。針號越細發生率越低。記憶:坐起就痛、躺下就好=腦脊髓液漏,先躺平多喝水。",[24,27,29,31],{"term":25,"count":26},"腦脊髓液滲漏",2,{"term":28,"count":10},"脊髓麻醉後頭痛 PDPH",{"term":30,"count":10},"姿位性頭痛",{"term":32,"count":10},"平躺補水",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-maternal-pediatric-025","王女士表示：「我不准我兒子來，他們天天吵，太皮了，萬一妹妹怎樣就麻煩了。」下列敘述何者最適當？",25,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-maternal-pediatric-041","依據美國燒傷協會有關兒童重度燒燙傷程度的分類，下列敘述何者正確？",41,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-055","吳小弟血型為 B 型，因血型與 O 型的母親不合而造成溶血，下列敘述何者正確？",55,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-maternal-pediatric-043","小萍診斷為先天性甲狀腺功能低下症，有關血液檢驗值之敘述，下列何者正確？",43,113,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-114-2-maternal-pediatric-047","關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",47,114,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-1-maternal-pediatric-041","下列何者不是 16 歲青少女神經性厭食症的表徵？",106,"2026-09-04",1788510735539]