[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-008":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-113-3-產兒科護理學-008","nurse-113-3-maternal-pediatric-008",113,3,8,"潘女士，G 1 P 0 ，懷孕 41 週，因規則陣痛而入院待產，胎位為左枕前位（LOA），未接受硬脊膜外麻醉。現因宮縮強且密集，陰道內診發現子宮頸已擴張完全，胎兒高度+2。在此情境下，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"臉部顯得潮紅，陰道口看到的現血量增加","宮縮時，出現不自主向下用力的動作","胎心音在母體左邊髂骨前上棘與肚臍連線的中點附近最清楚","胎心率在宮縮開始時變慢，在宮縮高峰時達到最低點，宮縮結束又恢復正常","C",null,[],"本題考點在於左枕前位(LOA)胎心音聽診位置會隨胎頭下降而改變。頭位胎兒的胎心音在胎背側最清楚,LOA 應於母體左下腹聽得;但本題子宮頸已全開、胎兒高度達 +2,先露部已深入骨盆,聽診點應隨之下移並趨近恥骨上方中線,仍停在髂前上棘與臍連線中點的描述不符現況,故 C 不適當。A 潮紅與現血增加、B 宮縮時不自主向下用力(Ferguson 反射)均為第二產程徵象;D 描述早發性減速,因胎頭受壓所致、屬良性,皆屬適當。",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？",6,1783840796654]