[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-112-1-產兒科護理學-079","nurse-112-1-maternal-pediatric-079",112,1,79,"有關早產兒腦室內出血，下列護理處置之敘述，何者最適當？",{"A":14,"B":15,"C":16,"D":17},"抬高床頭 45 度以減少顱內壓","採取集中照護，減少不必要的打擾","提供具聲光刺激的環境，以增加大腦血流","提供高張藥物及溶液，以減低大腦血流量","B",null,[],"本題考點為早產兒腦室內出血（IVH）的護理處置。早產兒生發基質血管脆弱，血流與壓力波動易誘發出血。最適當者為 B：採集中式照護、減少不必要打擾，可降低刺激與腦血流劇烈波動、保護脆弱血管。A 錯，床頭抬高以約 30 度並維持頭部正中，過高（45 度）非常規；C 錯，應減少聲光刺激而非增加；D 錯，快速輸注高張溶液會使腦血流與滲透壓劇變、增加出血風險，故選 B。","IVH 好發於\u003C32 週或極低出生體重早產兒，源於室管膜下生發基質血管未成熟。預防重點：維持血壓與腦血流穩定、頭部保持正中且輕度抬高（減少頸靜脈回流阻礙與 ICP）、集中照護（minimal handling）、避免快速擴容或高張液、控制疼痛與噪音。記憶：穩壓、正中、少擾、緩注。",[24,26,28,30],{"term":25,"count":10},"早產兒腦室內出血 IVH",{"term":27,"count":10},"生發基質脆弱",{"term":29,"count":10},"集中照護 minimal handling",{"term":31,"count":10},"避免腦血流波動",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-080","李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",80,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-maternal-pediatric-016","有關產後會陰傷口評估與護理措施，下列敘述何者正確？",16,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-113-2-maternal-pediatric-010","安胎婦女使用下列何種藥物可促進胎兒肺部成熟？",10,113,2,{"webId":49,"stem":50,"number":51,"year":52,"session":41},"nurse-114-3-maternal-pediatric-008","王女士，G 1 P 0 ，已待產 10 小時，子宮頸口擴張 6 cm，尚未破水，宮縮頻率為 40”\u002F3'-5'，她想要泡澡來緩解產痛，但又擔心安全性。下列護理措施何者錯誤？",8,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-062","吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",62,106,{"webId":59,"stem":60,"number":40,"year":61,"session":47},"nurse-107-2-maternal-pediatric-016","自然產的胎頭娩出後將進入下列何項分娩機轉？",107,"2026-09-04",1788510743127]