[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-112-3-產兒科護理學-011","nurse-112-3-maternal-pediatric-011",112,3,11,"李女士剖腹產前將進行腰椎硬膜外麻醉，下列措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"協助產婦採側躺並呈蝦米狀","麻醉前靜脈輸液 1,000 c.c.葡萄糖水","進行穿刺於 L 3 或 L 4 腰椎間","藥物注入後密切監測生命徵象","B",null,[],"本題考點在於腰椎硬膜外麻醉前後的正確護理措施。麻醉前為預防交感神經阻斷造成的低血壓，須先給予靜脈輸液擴充血容量，但應選用不含糖的等張晶體液（如乳酸林格氏液或生理食鹽水）。本題為反向題，不適當者為 B——術前給予葡萄糖水會使母體血糖升高、刺激胎兒胰島素分泌，出生後易發生新生兒反彈性低血糖，故不宜。A 協助側躺蝦米狀以撐開椎間隙、C 穿刺於 L3～L4 避開脊髓末端、D 藥物注入後密切監測生命徵象皆正確。","區域麻醉造成交感阻斷、周邊血管擴張，故先以等張液「預充（preload）」維持血壓。含糖溶液會經胎盤造成胎兒高血糖與高胰島素狀態，斷臍後糖分中斷即反彈性低血糖。成人脊髓終於 L1～L2，故穿刺選 L3～L4 或以下以避免傷及脊髓。",[24,27,30,32],{"term":25,"count":26},"硬膜外麻醉",7,{"term":28,"count":29},"等張液預充",1,{"term":31,"count":29},"新生兒反彈性低血糖",{"term":33,"count":29},"穿刺部位 L3-L4",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-012","徐女士，G 2 P 1 ，行子宮下段橫式切開剖腹產（Lower segment Cesarean section），採用脊髓麻醉法，下列術後照護何者錯誤？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-maternal-pediatric-008","吳女士，G 1 P 0 ，懷孕 38 週，主述：「下面濕濕的，不知道是不是破水了？」。下列何種檢測可以確認破水？",8,113,2,{"webId":46,"stem":47,"number":44,"year":48,"session":29},"nurse-114-1-maternal-pediatric-002","護理師為妊娠32週的趙女士進行腹部四段式觸診，下列敘述何者最適當？",114,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-maternal-pediatric-050","有關腦性麻痺兒童之敘述，下列何者錯誤？",50,115,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-106-2-maternal-pediatric-074","林小妹，9 歲，診斷為闌尾炎（Appendicitis）預進行盲腸切除手術。有關手術前後的護理措施，下列何者正確？",74,106,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-1-maternal-pediatric-028","產後會陰傷口評估所使用的項目縮寫為何？",28,108,"2026-09-04",1788510745323]