[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-111-2-產兒科護理學-072","nurse-111-2-maternal-pediatric-072",111,2,72,"小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"經鼻插入，長度由鼻尖到耳垂到劍突之長度為準","可接上空針並反抽，如有胃液，表示鼻胃管位置正確","灌食前，應以灌食空針反抽，評估是否有殘餘量，以了解消化吸收情形","鼻胃管灌食後鼓勵採左側臥以預防吸入性肺炎","D",null,[],"本題考點為食道氣管瘻管(TEF)患童放置鼻胃管的護理。TEF 因食道與氣管相通，灌食後採左側臥並非最佳，正確做法多為抬高頭部或右側臥以減少胃食道逆流與吸入風險，且此類患童鼻胃管能否順利放至胃部本身即受食道盲端影響，D 敘述採左側臥預防吸入性肺炎並不恰當，為答案。A 測量插入長度由鼻尖至耳垂至劍突為標準量法，正確；B 反抽見胃液可初步確認鼻胃管在胃內，正確；C 灌食前反抽評估殘餘量以了解消化吸收，屬常規正確步驟。考點在於辨識 TEF 灌食後體位擺放與一般鼻胃管照護的差異。","食道氣管瘻管最常見為食道近端閉鎖合併遠端食道與氣管相通(C 型)，餵食後最怕逆流誤吸入肺。灌食後抬高床頭並採右側臥有助胃排空、降低逆流。鼻胃管位置確認以反抽胃液與 pH 測定為輔，X 光為最準。左側臥有利胃內容滯留，不利此類患童。",[24,26,29,31],{"term":25,"count":10},"吸入性肺炎預防",{"term":27,"count":28},"食道氣管瘻管",1,{"term":30,"count":28},"鼻胃管放置",{"term":32,"count":28},"灌食後體位",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-073","小佳，3 歲半女童，因經常泌尿道感染而反覆入院，此次入院準備作靜脈注射腎盂攝影（intravenous pyelogram, IVP）檢查，下列護理指導之敘述，何者不適當？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-maternal-pediatric-009","婦女在懷孕過程中會主動尋求與生產有關之訊息，定期接受產前檢查，並且經常請教親朋好友生產的情形，這符合下列那項魯賓（Rubin）母性任務發展？",9,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-023","承上題，若配偶亦為海洋性貧血之帶因者，有關胎兒狀況之敘述，下列何者正確？",23,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-114-1-maternal-pediatric-021","林女士待產時突然主訴腹部呈撕裂性疼痛，護理師評估腹部有一明顯凹陷，無法測到宮縮和胎心音，此情境最可能為？",21,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-025","鄭女士，因子宮脫垂入院治療，下列敘述何者正確？",25,115,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-107-1-maternal-pediatric-009","有關妊娠 9 週的超音波檢查評估項目，下列何者錯誤？",107,"2026-09-04",1788510739635]