[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-012","nurse-106-1-maternal-pediatric-012",106,1,12,"蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",{"A":14,"B":15,"C":16,"D":17},"因子宮韌帶伸張、陰道及會陰肌肉伸展所致","因待產時經常採用同一種臥位而導致背部與腰部神經受壓迫所致","因子宮體下段伸展、子宮頸擴張與子宮收縮時肌肉細胞缺氧所致","因子宮收縮，神經衝動由第 2～4 尾椎神經傳入脊髓所致","C",null,[],"本題考點為第一產程疼痛的生理來源。依產程疼痛機轉,子宮頸口開4公分屬第一產程,此期疼痛源於子宮體下段伸展、子宮頸擴張,以及子宮收縮時肌肉細胞相對缺氧,經內臟神經傳導,故選C。選項A所述子宮韌帶伸張、陰道及會陰肌肉伸展屬第二產程胎兒下降時的疼痛來源;選項B將產痛歸因於臥位壓迫神經,屬姿勢性不適而非產痛本質;選項D稱衝動由第2至4尾椎神經傳入,神經節段錯誤,第一產程痛覺主要經第10胸椎至第1腰椎(T10至L1)脊神經傳入。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734109]