[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-014":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-107-2-產兒科護理學-014","nurse-107-2-maternal-pediatric-014",107,2,14,"楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"疼痛來自於子宮韌帶的伸張，陰道及會陰肌肉的伸展","疼痛位置主要在下腹部及下背部","疼痛來自於子宮體下段伸展及宮縮肌肉細胞缺氧","疼痛的神經衝動由 T 10 ～L 1 傳導進入脊髓","A",null,[],"本題考點在各產程疼痛的來源與神經傳導。子宮頸全開且完全變薄已進入第二產程，此期疼痛主要來自胎兒下降時子宮韌帶被牽張、以及陰道與會陰肌肉的伸展，屬體性疼痛，故 A 敘述正確。B 疼痛集中在下腹與下背屬第一產程子宮頸擴張的內臟痛部位。C 子宮體下段伸展與宮縮肌肉缺氧是第一產程疼痛機轉。D 疼痛經 T10～L1 傳入脊髓是第一產程的神經傳導路徑；第二產程會陰痛則經薦神經 S2～S4 傳導。本題要辨識第二產程「會陰體性痛」的特徵，故選 A。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"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":32,"stem":33,"number":34,"year":27,"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":36,"stem":37,"number":38,"year":27,"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":40,"stem":41,"number":42,"year":27,"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":44,"stem":45,"number":46,"year":27,"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？",6,1783840751610]