[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-010":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-114-3-產兒科護理學-010","nurse-114-3-maternal-pediatric-010",114,3,10,"王女士，G 1 P 0 ，懷孕 41 週，子宮頸口已開全。護理師等王女士出現想用力的感覺時，開始鼓勵她順著感覺向下用力，並依自己舒適的方式，發出聲音用力。有關護理師教導的這種方式，相較於傳統的閉氣用力，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"第二產程實際用力時間縮短","不會明顯增加胸腔內壓","較容易發生會陰撕裂傷","較不會引發產後的尿失禁","C",null,[],"本題考點在於自發性（順應感覺、開放聲門）用力與傳統閉氣用力（Valsalva）的差異，本題為反向題。錯誤敘述為 C：開放聲門、順著便意用力較不會過度伸展會陰，反而降低嚴重會陰撕裂傷風險，故「較容易發生會陰撕裂傷」的說法與事實相反。A 正確，自發性用力能縮短第二產程實際用力時間；B 正確，不需長時間閉氣故不會明顯升高胸腔內壓、較不影響靜脈回流與胎盤灌流；D 正確，較不會過度增加骨盆底壓力，產後尿失禁機率較低。故選 C。",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？",6,1783840798109]