[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-112-2-產兒科護理學-013","nurse-112-2-maternal-pediatric-013",112,2,13,"陳女士懷孕 39 週入院待產，體溫 36.5℃、心跳 74 次／分、呼吸 24 次／分，血壓 120\u002F85 mmHg。有關待產時使用腰椎硬膜外麻醉（epidural analgesia）時，麻醉前後注意事項，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"麻醉前 30 分鐘應提供靜脈留置針及給予 0.9%N\u002FS 500～1,000 mL 灌注","麻醉藥注入前 20 分鐘，應監測母親血壓和胎心音","麻醉後採左側臥，避免低血壓","待產婦血壓為 86\u002F50 mmHg，需給予 naloxone 解毒","D",null,[],"本題考點在待產時腰椎硬膜外麻醉的注意事項，屬反向題,要找出錯誤者。依硬膜外麻醉的常見副作用，其阻斷交感神經會造成周邊血管擴張而導致低血壓，處置應以靜脈輸液擴容、左側臥並視情況給予升壓劑(如 ephedrine),錯誤敘述為 D(血壓 86\u002F50 mmHg 屬麻醉引起的低血壓，須以輸液與升壓處理，而非給 naloxone;naloxone 是鴉片類拮抗劑,並非硬膜外低血壓的解毒劑)。A 麻醉前 30 分鐘先建立靜脈留置針並灌注生理食鹽水 500～1,000 mL 以預防低血壓,正確。B 麻醉前監測母親血壓與胎心音以掌握基準,正確。C 麻醉後採左側臥可減少子宮壓迫下腔靜脈、避免低血壓,正確。故僅 D 錯誤。","硬膜外麻醉阻斷交感神經→血管擴張→母體低血壓,進而減少子宮胎盤灌流影響胎心,是最須防範的併發症。預防與處置:術前預先輸液擴容(preload)、左側臥避免仰臥低血壓症候群、密切監測血壓與胎心、低血壓時加速輸液並可用 ephedrine 升壓。naloxone 專門逆轉鴉片類藥物過量(呼吸抑制),與硬膜外交感阻斷造成的低血壓機轉無關,用錯藥理。記憶「硬膜外低血壓→輸液+左側臥+ephedrine,不是 naloxone」。可連結仰臥低血壓症候群與分娩減痛方式複習。",[24,26,29,31,33],{"term":25,"count":10},"腰椎硬膜外麻醉",{"term":27,"count":28},"交感阻斷致低血壓",1,{"term":30,"count":28},"術前輸液擴容",{"term":32,"count":28},"左側臥防低血壓",{"term":34,"count":28},"naloxone 為鴉片拮抗劑用錯",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-014","王女士，懷孕 41 週，觀察其待產期間的胎心率變化。下列何種現象，需要特別處理？",14,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-3-maternal-pediatric-030","6 個月大之嬰兒健檢時，母親詢問護理師：「我孩子頭頂中間摸起來軟軟的，這是正常的嗎？」，下列何項回應最為適當？",30,3,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-maternal-pediatric-024","有關人類乳突病毒（human papillomavirus, HPV）之敘述，下列何者錯誤？",24,113,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,114,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-106-1-maternal-pediatric-076","李小妹，9 歲，剛被診斷為惡性腦瘤，母親擔心李小妹知道病情之後會傷心，所以不僅隱瞞病情，還整天面帶笑容，而李小妹卻說：「我這麼不舒服，我媽還笑嘻嘻，她有愛我嗎？」下列護理措施何者較適當？",76,106,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-107-2-maternal-pediatric-030","有關新生兒神經成熟度評估之描述，下列何者是早產兒的特徵？",107,"2026-09-04",1788510748093]