[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-031":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-031","nurse-109-1-maternal-pediatric-031",109,1,31,"張女士目前子宮頸口開 6 公分，每 10 分鐘宮縮 2 次，每次持續 20 秒，宮縮壓力 10 mmHg，產程已持續 3 小時無進展。張女士顯得疲累，胎心音正常，下列臨床處置何者正確？",{"A":14,"B":15,"C":16,"D":17},"準備剖腹產","給予止痛藥","輸注 Ritodrine（Yutopar）","輸注催產素","D",null,[],"本題考點在於產程遲滯合併子宮收縮乏力的判讀,重點在於辨識低張性子宮收縮功能失調:子宮頸已開6公分進入活動期,但每10分鐘僅2次、每次20秒、壓力僅10 mmHg,宮縮過弱且3小時無進展,而胎心音正常無胎兒窘迫,依產程處置原則應加強宮縮,輸注催產素(oxytocin)促進有效收縮,故選D。A剖腹產在胎心音正常、未達手術指徵時過於躁進。B止痛藥會進一步抑制已然不足的宮縮,方向錯誤。C的Ritodrine(Yutopar)為子宮鬆弛劑,會抑制宮縮,與加強產程需求相反。因此正解為D輸注催產素。",[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？",6,1783840748142]