[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-033":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-107-1-產兒科護理學-033","nurse-107-1-maternal-pediatric-033",107,1,33,"何女士，妊娠 29 週，突然感到腹部劇烈疼痛，檢查結果為 TPR：36.6℃，90 次\u002F分，16 次\u002F分， BP：140\u002F90 mmHg，胎心音難測得，子宮硬且有壓痛，宮縮 60～80 mmHg，無陰道出血或羊水流出。根據何女士的臨床狀況，其可能有下列何項問題？",{"A":14,"B":15,"C":16,"D":17},"急性腹膜炎","前置胎盤","胎盤早期剝離","脅迫性流產","C",null,[],"本題考點在妊娠晚期急性腹痛合併出血徵象的鑑別。依臨床特徵，個案妊娠 29 週突發腹部劇痛、子宮硬且壓痛（板狀腹）、宮縮壓力高、胎心難測、血壓偏高（140\u002F90 mmHg）而『無明顯陰道出血』，最符合胎盤早期剝離（abruptio placentae）的隱性出血型，故選 C。A 急性腹膜炎缺乏發燒與腹膜炎病史脈絡，且不能解釋子宮硬壓痛與胎心變化。B 前置胎盤典型為『無痛性』鮮紅陰道出血、子宮柔軟，與本例劇痛硬腹相反。D 脅迫性流產發生於早期妊娠且以子宮頸擴張為特徵，與 29 週板狀硬腹劇痛不符。合併高血壓更支持胎盤早剝的危險因子。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840741481]