[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-011":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-011","nurse-114-2-maternal-pediatric-011",114,2,11,"郭女士，懷孕 39 週。主訴：「自今天凌晨 1 點開始陸續出現陣痛，有時半小時，有時 20 分鐘痛一次，不太規則。大概從半夜 3 點開始，宮縮變得規則且明顯，大約 5 分鐘一次」。早上 6 點因子宮頸口開 3 公分且 3～4 分鐘宮縮一次而入院待產。下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分陰道娩出一健康女嬰。下午 4 點 20 分胎盤娩出。請問郭女士此次生產第一產程時間應記錄為何？",{"A":14,"B":15,"C":16,"D":17},"12 小時 00 分鐘","13 小時 10 分鐘","14 小時 00 分鐘","15 小時 20 分鐘代號： 4102 頁次： 4－2","A",null,[],"本題考點在於第一產程時間的正確起算與計算。依定義,第一產程自「規則宮縮」開始,計算至子宮頸完全擴張(10 公分)為止。郭女士凌晨 1 點起的陣痛不規則不列入,直到凌晨 3 點宮縮才轉為規則且明顯(約 5 分鐘一次),故起算點為凌晨 3 點;下午 3 點子宮頸完全擴張為終點。由凌晨 3 點到下午 3 點恰為 12 小時整,故選 A 12 小時 00 分鐘。B、C、D 之所以錯,多為誤把不規則陣痛的凌晨 1 點起算、或把胎兒娩出(4:10)、胎盤娩出(4:20)等第二、三產程時間也算入第一產程所致。",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？",6,1783840797642]