[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-014":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-109-1-產兒科護理學-014","nurse-109-1-maternal-pediatric-014",109,1,14,"李女士每 1 分鐘子宮收縮一次，每次持續 50 秒，子宮頸口全開，變薄程度 100%，胎兒先露部位高度為＋2，有強烈想用力的感覺。當子宮收縮時，下列的護理指導何者最恰當？",{"A":14,"B":15,"C":16,"D":17},"告知不要喊叫","採持續長時間閉氣用力法","打開聲門用力法","腹式呼吸","C",null,[],"本題考點在於第二產程有效用力法的選擇。情境為子宮頸全開、變薄 100%、先露 +2 且有強烈便意，已可用力；此時宜採打開聲門用力法，即用力時保持聲門開放、避免長時間閉氣，維持氧合並減少對母胎血循的不利影響，故選 C。A 全開後產婦有強烈用力感時不宜壓抑，「告知不要喊叫」非此刻護理重點，故錯。B 持續長時間閉氣用力（Valsalva）會升高胸內壓、減少靜脈回流與胎盤灌流，易致胎心音減速，故錯。D 腹式呼吸屬第一產程或用力間歇的呼吸，非全開娩出技巧，故錯。核心在辨識全開後採開放性聲門用力較安全有效。",[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？",6,1783840748010]