[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-014":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-112-2-產兒科護理學-014","nurse-112-2-maternal-pediatric-014",112,2,14,"王女士，懷孕 41 週，觀察其待產期間的胎心率變化。下列何種現象，需要特別處理？",{"A":14,"B":15,"C":16,"D":17},"潛伏期時，不論有無宮縮，都維持在 128～148 bpm","活動期時，10 分鐘內，不論有無宮縮，最高為 140 bpm，最低為 136 bpm","宮縮開始，加速最高至 162 bpm，宮縮結束後回到 124 bpm","產檯上用力期間，逐漸減慢到最低至 110 bpm，宮縮結束後回到 138 bpm","B",null,[],"本題考點在辨識異常的胎心率型態。依胎兒監測判讀標準，正常基準線為 110～160 bpm、且應具備每分鐘 6～25 bpm 的基準變異性；變異性代表胎兒自主神經調控完整。選項 B 在活動期十分鐘內最高 140、最低 136，波動僅約 4 bpm，屬變異性過小（minimal variability），常反映胎兒缺氧或中樞抑制，需特別處理，故選 B。A 維持在 128～148 bpm 屬正常基準且有足夠變異；C 宮縮起始加速至 162、後回到 124 是良性的加速反應；D 用力期減慢至 110 隨宮縮結束回升 138，符合早期減速的良性型態。",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？",6,1783840794415]