[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-020":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-112-3-產兒科護理學-020","nurse-112-3-maternal-pediatric-020",112,3,20,"陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"告知產檢狀況一切正常不用擔心，一個月後再回診","具子宮頸閉鎖不全之高危險因子，建議接受子宮頸環紮術（Cervical cerclage）","具胎盤早期剝離之高危險因子，建議給口服安胎藥且返家後儘量臥床休息","具產程遲滯的危險因子，可能前胎流產沾黏導致子宮頸長度較長","B",null,[],"本題考點在於子宮頸閉鎖不全（cervical incompetence）的辨識與處置。個案前兩胎均於妊娠 16～18 週因「無痛性」破水自然流產，且本次 16 週已見子宮頸長度縮短（2.4 公分）、擴張 2 公分，符合子宮頸閉鎖不全的典型病史與表現，處置為子宮頸環紮術（Cervical cerclage），故選 B。A 忽略高危病史謂一切正常屬失職；C 誤判為胎盤早期剝離，兩者機轉不同；D 誤判為產程遲滯且推論子宮頸「較長」與實測 2.4 公分縮短矛盾，皆錯。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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？",6,1783840795164]