[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-112-1-產兒科護理學-018","nurse-112-1-maternal-pediatric-018",112,1,18,"剖腹產時，為減少藥物對胎兒的副作用，宜採用何種麻醉方式？",{"A":14,"B":15,"C":16,"D":17},"靜脈注射麻醉劑法","腰椎硬膜外麻醉法","陰部阻斷法","吸入性麻醉法","B",null,[],"本題考點為剖腹產減少胎兒藥物影響的麻醉選擇。腰椎硬膜外（區域）麻醉的藥物作用於局部神經，經胎盤進入胎兒的量極少，可減少對新生兒的抑制，故選 B。A 靜脈注射全身麻醉劑與 D 吸入性麻醉藥皆易透過胎盤抑制胎兒呼吸；C 陰部阻斷法僅麻醉會陰、無法用於剖腹產，故排除。","剖腹產首選區域麻醉（脊髓或硬膜外），母親清醒、胎兒藥物暴露少、可及早母嬰接觸。全身麻醉保留給緊急或有區域麻醉禁忌者，但揮發性麻醉劑與靜脈誘導藥會經胎盤致新生兒呼吸抑制。陰部神經阻斷則用於陰道分娩會陰止痛。",[24,27,29,32,34],{"term":25,"count":26},"剖腹產",3,{"term":28,"count":26},"區域麻醉",{"term":30,"count":31},"腰椎硬膜外麻醉",2,{"term":33,"count":31},"新生兒呼吸抑制",{"term":35,"count":10},"胎盤藥物通透",[37,41,45,49,54,58],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-maternal-pediatric-019","丁女士，使用催產素引產，以每小時 9 c.c.靜脈滴注，胎兒監視器顯示變異性減速，此時最優先之處置為何？",19,{"webId":42,"stem":43,"number":44,"year":9,"session":31},"nurse-112-2-maternal-pediatric-035","承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",35,{"webId":46,"stem":47,"number":48,"year":9,"session":26},"nurse-112-3-maternal-pediatric-049","有關兒童顱內壓增高的臨床表徵及處置，下列敘述何者錯誤？",49,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-114-1-maternal-pediatric-047","小敏，8歲，因為長期嚴重便秘而入院檢查，檢查後發現大量大便堆積腸道，欲執行大量灌腸。有關大量灌腸的護理指導，下列敘述何者最不適當？",47,114,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":59,"stem":60,"number":44,"year":61,"session":10},"nurse-107-1-maternal-pediatric-035","下列那些生殖道感染疾病，容易造成女性骨盆腔感染？①披衣菌感染 ②淋病 ③梅毒 ④生殖器疱疹",107,"2026-09-04",1788510742560]