[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-113-1-產兒科護理學-007","nurse-113-1-maternal-pediatric-007",113,1,7,"葉女士，28歲，G1P0，待產過程中突然自然破水，內診發現子宮頸口開8公分、變薄程度80%、先露部位+1。下列何者為最優先之護理處置？",{"A":14,"B":15,"C":16,"D":17},"提供灌腸","監測胎心率變化","提供氧氣","採平躺增加子宮血流","B",null,[],"本題考點在於突然自然破水後、產程進展至第一產程末的護理優先順序。此案例子宮頸口開 8 公分、變薄 80%、先露部位 +1，屬活動期末段（過渡期），破水後最大風險是臍帶脫垂與胎兒窘迫，故最優先為 B「監測胎心率變化」，以即時偵測是否出現變異性減速等臍帶受壓徵象。A「灌腸」不當，在過渡期且近生產不宜灌腸。C「提供氧氣」為胎心異常時的後續措施，須先評估胎心才知是否需要，非最優先。D「平躺增加子宮血流」錯誤，平躺可能誘發仰臥低血壓症候群反而減少胎盤灌流，且此選項未針對破水後首要風險。故正解為 B。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"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":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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？",6,1783840795534]