[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-027":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-027","nurse-111-2-maternal-pediatric-027",111,2,27,"有關剖腹產後陰道生產（vaginal birth after cesarean, VBAC）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"前胎剖腹生產的次數，不影響 VBAC","前置胎盤者，可以建議行 VBAC","前胎採子宮下段橫切剖腹產，此胎不宜行 VBAC","曾有子宮破裂病史者，此胎不宜行 VBAC","D",null,[],"本題考點在剖腹產後陰道生產（VBAC）的適應與禁忌。曾有子宮破裂病史者，再次生產時子宮破裂風險極高，屬VBAC絕對禁忌，故選D「此胎不宜行VBAC」正確。考點在於子宮破裂史為VBAC禁忌。選項A「前胎剖腹次數不影響VBAC」錯誤，多次剖腹產會增加子宮破裂風險、降低VBAC適合度；選項B前置胎盤本身就是經陰道生產禁忌，不可建議VBAC；選項C「前胎採子宮下段橫切、此胎不宜VBAC」方向錯誤，下段橫切口正是最適合嘗試VBAC的切口型態（破裂風險最低），反而古典式（子宮體縱切）才是禁忌。三個錯項在剖腹次數、前置胎盤與切口型態上判斷相反或錯誤。",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？",6,1783840793272]