[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-013":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-111-2-產兒科護理學-013","nurse-111-2-maternal-pediatric-013",111,2,13,"王女士，G 1 P 0 ，懷孕 24 週，常規的產前檢查正常。詢問護理師：「我有時會覺得肚子繃緊，但不覺得痛。繃緊感有時候幾秒鐘就過去，通常不超過 1 分鐘，沒有其他不舒服，這樣是正常嗎？」下列的回答，何者最適當？",{"A":14,"B":15,"C":16,"D":17},"這可能是早產的徵兆，需要立即通知醫師，可能需要住院安胎","雖然目前沒事，但妳可能是早產的高危險群，需要多臥床休息","這種收縮對子宮頸變薄有幫助，妳的身體開始生產前的準備，不用擔心","這是懷孕期間一種正常的無痛性子宮收縮，無需太擔心","D",null,[],"本題考點在辨識Braxton Hicks收縮（假性宮縮）並給予正確衛教。個案24週、無痛、繃緊感數秒至1分鐘、無其他不適，屬正常的無痛性子宮收縮（Braxton Hicks），衛教應說明其為懷孕期正常現象、無需過度擔心，故選D。考點在於辨識無痛性生理性宮縮並安撫。選項A將其誤判為早產徵兆要求立即通知並住院安胎，過度反應且不符臨床判讀；選項B妄下「早產高危險群」定論並要求臥床，缺乏依據且製造焦慮；選項C說「這種收縮對子宮頸變薄有幫助、身體開始生產準備」為錯誤衛教，Braxton Hicks不會造成子宮頸變薄或進行性擴張。三個錯項不是誤判為病理，就是給了錯誤機轉。",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？",6,1783840793100]