[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-產兒科護理學-004","nurse-115-1-maternal-pediatric-004",115,1,4,"王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",{"A":14,"B":15,"C":16,"D":17},"是懷孕初期利用瑜珈運動的技巧，降低生產的疼痛","運用條件反射訓練，讓準父母對生產有較好的準備","強調待產婦完全配合伴侶的口令進行呼吸技巧","是瑞德（Dick-Read）醫師所發展，強調生產時使用預防疼痛的藥物","B",null,[],"本題考點是拉梅茲(Lamaze)生產準備法的理論基礎。依 Pavlov 的條件反射學說,拉梅茲透過呼吸技巧、專注點凝視與肌肉放鬆的反覆練習,讓產婦在宮縮出現時以訓練過的反應取代疼痛引發的緊張反應,並讓準父母共同參與而對生產有較好準備,故 B 正確。A 錯在拉梅茲的核心不是瑜珈運動,且課程多自懷孕約七個月後開始練習,並非懷孕初期。C 錯在陪產伴侶的角色是提醒、計時與支持,主導權仍在待產婦本人,不是完全服從口令。D 錯在瑞德(Dick-Read)提出的是無恐懼生產法,主張打破恐懼—緊張—疼痛循環以減少用藥,而非強調使用止痛藥物。","三大生產準備法可用對比表記:瑞德(Dick-Read)重「知識化解恐懼」,打斷恐懼—緊張—疼痛循環;拉梅茲(Lamaze)重「條件反射與呼吸節律」,以皮質活動抑制疼痛知覺傳遞;布萊德利(Bradley)重「丈夫陪產與自然放鬆」,強調腹式深呼吸與向內專注。拉梅茲呼吸的疼痛調節基礎可用門閥控制理論(gate control theory)解釋:節律呼吸、按摩與專注點提供競爭性刺激,並降低交感神經興奮,間接減少兒茶酚胺對子宮收縮效率的干擾。練習重點是配合宮縮起落調整呼吸層次,避免過度換氣造成手足麻木與頭暈,此時以雙手掩口鼻回吸即可緩解。可延伸複習:非藥物減痛措施(溫水浴、按摩、姿勢改變)與硬膜外麻醉的適應時機。",[24,27,29,31,33],{"term":25,"count":26},"門閥控制理論",2,{"term":28,"count":10},"拉梅茲生產準備法",{"term":30,"count":10},"條件反射學說",{"term":32,"count":10},"Dick-Read 無恐懼生產法",{"term":34,"count":10},"呼吸技巧",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-005","林女士 40 歲，目前懷孕 10 週，高興成功懷孕，但也擔心胎兒有染色體問題。有關此期唐氏症遺傳診斷檢查之敘述，下列何者最不適當？",5,{"webId":41,"stem":42,"number":10,"year":43,"session":10},"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":45,"stem":46,"number":47,"year":43,"session":26},"nurse-106-2-maternal-pediatric-015","高女士已超過預產期 3 天，醫師建議入院引產，下列敘述何者正確？",15,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-107-2-maternal-pediatric-053","在嬰幼兒期自閉症的症狀表現，易與下列何種障礙混淆？",53,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-017","承上題，第二產程用力時，胎心率出現早發性減速的原因為何？",17,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-maternal-pediatric-051","小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",51,110,"2026-08-06",1787299089179]