[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-021":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-113-2-產兒科護理學-021","nurse-113-2-maternal-pediatric-021",113,2,21,"初產婦 34 歲，妊娠 38 週胎兒發育符合妊娠週數，因破水入院後 24 小時仍無宮縮，予以評估子宮頸成熟度，發現其子宮頸擴張＜1 公分，子宮頸變薄 30%，無法觸診到胎兒的先露部位，子宮頸位置在後方且堅硬。依據上述情境，若採 Bishop 計分法評估，以決定後續相關處置，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"得分為 6 分，適用催生針劑靜脈滴注催產","子宮頸已成熟，適用前列腺素針劑靜脈滴注催產","得分為 0 分，適用前列腺素陰道塞劑促子宮頸成熟","子宮頸不成熟，可繼續觀察 48 小時，若無產兆且確定無感染則可返家待產","C",null,[],"本題考點在於 Bishop 評分法的計分與後續處置判讀。Bishop 分數由子宮頸擴張、變薄、位置、質地與先露部位胎頭高度五項評估。本情境：擴張＜1 公分（0 分）、變薄 30%（0 分）、先露部位無法觸診代表胎頭甚高（0 分）、子宮頸位置在後方（0 分）、質地堅硬（0 分），總分為 0 分，屬子宮頸極不成熟。子宮頸不成熟時應先促進子宮頸成熟，以前列腺素陰道塞劑軟化子宮頸，故選 C。A 錯，得分並非 6 分（6 分才算成熟），且未成熟不宜直接催產。B 錯，子宮頸並未成熟，且前列腺素主要作用是促成熟而非直接靜脈滴注催產（催產用的是催產素 oxytocin）。D 錯，已破水 24 小時無宮縮，繼續等待 48 小時會顯著增加絨毛膜羊膜炎與感染風險，不宜返家待產。本題須正確累計 Bishop 各項分數並連結促成熟處置。",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？",6,1783840796272]