[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-106-2-產兒科護理學-018","nurse-106-2-maternal-pediatric-018",106,2,18,"李女士 G 3 P 0 ，已入院待產 12 小時。她說：「我好想用力哦！」，此時護理師最佳的評估是下列何者？",{"A":14,"B":15,"C":16,"D":17},"先幫妳內診，了解目前狀況是否適合用力","這是待產正常的感覺，可以側躺比較舒服","這表示即將要生產了，現在立刻送妳進產房","現在深吸一口氣，朝著陰道方向用力 10 秒鐘代號：4106 頁次：8－3","A",null,[],"本題考點在待產婦出現「想用力（便意感）」時的正確評估。產婦主訴想用力可能代表已進入第二產程、子宮頸全開，但也可能是子宮頸尚未全開的假性用力感；若在子宮頸未全開時用力會造成子宮頸вод腫脹、裂傷。故護理師最佳處置是先內診確認子宮頸擴張狀況，再決定是否適合用力，選 A。B 僅告知是正常感覺並改側躺，未評估即安撫，可能延誤；C 直接判定即將生產立刻送產房，屬未評估的臆測；D 未確認全開即指導用力，可能在子宮頸未開全時用力而造成傷害。評估先於處置為原則。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"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":28,"stem":29,"number":10,"year":9,"session":22},"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？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"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":22},"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":22},"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":22},"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？",6,1783840737728]