[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-007":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-114-2-產兒科護理學-007","nurse-114-2-maternal-pediatric-007",114,2,7,"王女士，G 1 P 0 ，已待產 13 小時，目前子宮頸口開 8 公分，呼吸急促，每次宮縮時皆以手拍打床面，身體呈現精疲力竭、情緒失控、出汗等現象，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"協助王女士開始平躺用力","以手指伸入陰道促進子宮頸擴張","請她不要拍打床面以保持情緒穩定","請王女士跟著手勢調整呼吸","D",null,[],"本題考點在於第一產程轉變期(transition phase)產婦的支持性護理。依產程進展,子宮頸開 8 公分屬轉變期,產婦常出現呼吸急促、疲憊、情緒失控與焦躁行為;此時最適當的護理是以平穩的手勢引導產婦調整呼吸節律,協助其放鬆並度過最難熬階段,故選 D。A 錯在子宮頸尚未全開(未達 10 公分)即用力,會造成子宮頸水腫與撕裂,不利產程。B 錯在以手指伸入陰道試圖促進擴張既無實證又增加感染風險,屬不當侵入。C 錯在僅制止拍打床面而否定其情緒表現,無法真正協助放鬆,應接納情緒並提供呼吸引導。比對後 D 為正向支持措施。",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？",6,1783840797599]