[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-3-產兒科護理學-011","nurse-114-3-maternal-pediatric-011",114,3,11,"有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"執行前先排空膀胱，採蝦米狀，穿刺入硬脊膜","常用的藥物有 Fentanyl、Bupivacaine（Marcaine）等","執行注射前需給予 D 5 W 500～1,000 c.c.","會影響第二產程用力及增加新生兒吸吮能力","B",null,[],"本題考點在於腰椎硬膜外麻醉（epidural）的執行要點與用藥。正解 B：臨床常合併使用短效鴉片類 Fentanyl 與局部麻醉劑 Bupivacaine（Marcaine），以達減痛又保留部分運動功能。A 錯在硬膜外麻醉是將藥物注入硬脊膜「外腔」，不可穿破硬脊膜進入蜘蛛膜下腔（否則變成脊髓麻醉）；C 錯在術前預先灌注應給不含糖的晶體溶液（如生理食鹽水、林格氏液）以預防低血壓，而非 D5W；D 錯，硬膜外減痛可能延長或減弱第二產程用力感，且不會增加新生兒吸吮能力。故選 B。","硬膜外與脊髓（spinal）麻醉的關鍵差異在注射腔隙：epidural 在硬脊膜外腔、起效較慢可續留導管持續給藥；spinal 進入蜘蛛膜下腔、起效快但單次。預灌不含糖晶體液是因葡萄糖會被代謝掉、無法維持血管內容積且可能致胎兒反應性低血糖。常見副作用為母體低血壓、發燒、尿滯留與第二產程延長。",[24,27,29,31],{"term":25,"count":26},"硬膜外麻醉(epidural)",1,{"term":28,"count":26},"Fentanyl 與 Bupivacaine",{"term":30,"count":26},"預灌晶體液",{"term":32,"count":26},"與脊髓麻醉區別",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-012","陳女士，待產 3 小時，於陰道內診發現其胎兒先露部位到達坐骨棘連線上 1 公分。下列紀錄何者正確？",12,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-008","影響分娩的因素中，包含母體骨盆及胎頭徑線。下列敘述何者錯誤？",8,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-maternal-pediatric-052","李太太患有妊娠糖尿病，懷孕 38 週，自然娩出一女嬰，出生體重 3,800 公克，有關李小妹出生後的照顧，下列敘述何者錯誤？",52,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-010","有關第一孕期唐氏症篩檢的敘述，下列何者錯誤？",10,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-054","根據衛生福利部擬訂「2025 年衛生福利政策白皮書」，婦幼健康促進長程指標，下列敘述何者錯誤？",54,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-maternal-pediatric-008","有關雷奧波德式操作法（Leopold’s maneuvers）之敘述，下列何者正確？",110,"2026-09-04",1788510762349]