[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-010":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-108-2-產兒科護理學-010","nurse-108-2-maternal-pediatric-010",108,2,10,"李女士在第一產程中破水，下列何者為最優先的措施？",{"A":14,"B":15,"C":16,"D":17},"給予陰道內診","評估胎心音 1 分鐘","給予腹部觸診","以石蕊試紙測試羊水","B",null,[],"本題考點是第一產程破水後的優先護理措施。依破水後最急迫的風險為臍帶脫垂造成胎兒缺氧，故最優先須立即評估胎心音（至少聽診 1 分鐘），以判斷有無臍帶受壓所致的心跳下降，故選 B。A 陰道內診雖可評估產程，但破水後過度內診會增加上行性感染風險，且非最優先。C 腹部觸診用於評估胎位與宮縮，無法即時反映胎兒安危。D 以石蕊（硝嗪）試紙測試確認是否為羊水，屬確認破水性質的檢查，重要性次於先確保胎兒安全。判斷順序上，先護胎兒生命徵象再做其他評估。",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？",6,1783840759531]