[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-016":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-016","nurse-111-2-maternal-pediatric-016",111,2,16,"王女士，G 1 P 0 ，子宮頸口開 10 公分，待產時宮縮疼痛，下列措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"直接送入分娩室，等醫師來方可用力生產","可採膀胱截石臥位，此為最有助於產程進展之姿勢","當進入第二產程每 30 分鐘監測待產婦的血壓、脈搏和呼吸","有強烈便意感時，可採緩慢開聲門用力生產","D",null,[],"本題考點在第二產程用力的正確指導。子宮頸全開10公分且有強烈便意感時，代表胎頭下降壓迫直腸，此時可指導產婦採「開放式聲門（open glottis）緩慢吐氣用力」，避免長時間閉氣（Valsalva）造成胎兒缺氧與產婦血壓波動，故選D。考點在於開放聲門用力優於閉氣用力。選項A「直接送分娩室、等醫師才可用力」不符實務，用力時機依產婦身體狀態與產程而非硬性等醫師；選項B膀胱截石臥位並非「最有助產程進展」的姿勢，仰臥截石位反而壓迫下腔靜脈、不利胎頭下降，直立或側臥更佳；選項C第二產程生命徵象監測頻率描述不當、且非最適當處置。三個錯項各在時機、姿勢或監測上出錯。",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？",6,1783840793124]