[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-034":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-034","nurse-112-2-maternal-pediatric-034",112,2,34,"32 歲初產婦身高 160 公分，中午 12：00 入院時子宮頸變薄 50%，擴張為 4 公分，待產期間僅給予 Ringer 輸液 keep line，但子宮收縮頻率自然變快且強度也增加，10 分鐘內平均有 5 次以上收縮，分娩進展快速於下午 14：50 娩出 1 名男嬰，出生體重 2,700 公克。有關此位初產婦分娩特性的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"急產，產後應評估子宮頸及產道是否有撕裂傷","分娩快速，胎兒易出現感染及失溫的危險","產程延滯，是醫療處置不當的結果","應注意胎兒是否因腦缺氧，刺激交感神經引發心跳加速","A",null,[],"本題考點為急產（precipitous labor）的辨識與產後評估重點。此初產婦子宮收縮自然轉為又快又強、十分鐘內達 5 次以上，並於入院約三小時內快速娩出，符合急產特徵。考點在於急產因產程過快、產道未充分擴張，容易造成子宮頸、陰道與會陰撕裂傷，故產後應優先評估產道有無撕裂傷，選 A。B 過度渲染胎兒感染與失溫非急產核心；C 本題屬產程過快而非產程延滯，且並非醫療處置不當所致；D 心跳加速的推論與本題娩出順利的情境不符，屬無依據的臆測。",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？",6,1783840794550]