[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-3-產兒科護理學-012","nurse-112-3-maternal-pediatric-012",112,3,12,"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？",{"A":14,"B":15,"C":16,"D":17},"術後導尿管至少留置 8 小時","術後採辛式臥位","給與足夠水分 2,500～3,000 c.c.／天","下一胎可嘗試剖腹產後陰道生產（VBAC）","B",null,[],"本題考點在於剖腹產合併脊髓麻醉的術後照護原則。脊髓麻醉後為預防腦脊髓液滲漏造成的頭痛，術後宜採平躺姿勢，並維持足夠水分、留置導尿管觀察排尿，且下段橫式切開者下一胎可評估嘗試剖腹產後陰道生產（VBAC）。本題為反向題，錯誤敘述為 B——採辛式臥位（Sims' position）不符脊髓麻醉後照護，應平躺以降低脊髓性頭痛風險。A 導尿管留置、C 補充水分 2,500～3,000 c.c.\u002F天、D VBAC 皆為正確照護。","脊髓麻醉頭痛源於硬脊膜穿刺後腦脊髓液外漏，平躺可減少滲漏並降低顱內壓變化；補充水分亦有助腦脊髓液再生。VBAC 的重要前提是前次為子宮下段橫式切開（破裂風險低），古典式縱切則為禁忌。",[24,27,30,32],{"term":25,"count":26},"脊髓性頭痛",2,{"term":28,"count":29},"脊髓麻醉術後照護",1,{"term":31,"count":29},"VBAC 條件",{"term":33,"count":29},"子宮下段橫式切開",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-013","鄒女士，33 歲，為陰道生產之初產婦。選擇在母嬰親善醫院生產並計劃依循衛生福利部國民健康署對嬰幼兒最佳餵養建議，下列敘述何者不適當？",13,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-maternal-pediatric-009","葉女士，懷孕 39 週，因破水入院待產。護理師進行腹部觸診時，在宮底處觸摸到一個較軟，且比較不圓的胎兒部位；在恥骨聯合附近觸摸到一個較硬，似圓形的胎兒部位，接著在肚臍以下的部位聽取到清楚的胎心音。陰道內診時，摸到圓滑且硬的胎兒部位。判斷其胎產式為何？",9,113,{"webId":45,"stem":46,"number":10,"year":47,"session":29},"nurse-114-1-maternal-pediatric-003","陳女士月經週期規律，偶睡前服用鎮靜劑，因月經過期10天，自行購買驗孕棒進行妊娠試驗，下列敘述何者正確？",114,{"webId":49,"stem":50,"number":29,"year":51,"session":26},"nurse-115-2-maternal-pediatric-001","有關以實證為基礎的低風險婦女之生產照護原則，下列何者不適當？",115,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-106-2-maternal-pediatric-075","有關先天性的氣管食道瘻管（Tracheoesophageal fistula）嬰兒，進行瘻管關閉及食道吻合術後之照護重點，下列敘述何者錯誤？",75,106,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-108-1-maternal-pediatric-029","有關新生兒皮膚之敘述，下列何者錯誤？",29,108,"2026-09-04",1788510745334]