[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-006","nurse-115-1-maternal-pediatric-006",115,1,6,"懷孕 30 週孕婦抱怨下背痛，可優先教導下列何種運動？",{"A":14,"B":15,"C":16,"D":17},"骨盆底陰道收縮運動","骨盆搖擺運動","雙下肢抬舉運動","盤腿坐式運動","B",null,[],"本題考點是孕期下背痛的運動處置依據。依脊椎力學,懷孕後期增大的子宮使身體重心前移、腰椎前凸(lordosis)加深,下背肌群長期處於代償性緊張而疼痛;骨盆搖擺運動可主動使骨盆後傾、拉長並放鬆下背肌群、減少腰椎前凸,直接針對成因,故 B 為優先教導的運動。A 骨盆底收縮運動(凱格爾運動)訓練的是提肛肌群,目的在預防尿失禁與骨盆器官鬆脫,對腰椎排列無矯正作用。C 雙下肢同時抬舉會大幅增加腹壓與腰椎剪力,孕期並不適合。D 盤腿坐式主要伸展大腿內側與髖關節,是為生產時外展做準備,並非緩解下背痛的首選。","骨盆搖擺可在手膝臥位或站立時做,動作要領是吸氣放鬆、吐氣時收下腹並將尾骨往前捲,想像把腰椎的凹陷「壓平」貼向牆面,重點在骨盆的前後傾而非扭腰。除了運動,孕期背痛照護的整體原則是減少腰椎負荷:避免高跟鞋與久站、彎腰取物改為屈膝、側臥時兩腿間夾枕頭以維持骨盆中立。鑑別上要能分開三種孕期疼痛:下背痛為持續性鈍痛並隨活動加重;圓韌帶疼痛是突然變換姿勢時單側下腹的短暫銳痛;薦髂關節或骨盆帶疼痛則在單腳站立、翻身時明顯。若疼痛伴隨規律宮縮、發燒或排尿灼熱,考慮的方向就不是肌肉骨骼問題。可延伸複習:鬆弛素(relaxin)使骨盆韌帶鬆弛與步態改變的關係。",[24,27,30,32,34],{"term":25,"count":26},"凱格爾運動",4,{"term":28,"count":29},"重心前移",3,{"term":15,"count":31},2,{"term":33,"count":10},"腰椎前凸",{"term":35,"count":10},"圓韌帶疼痛",[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-1-maternal-pediatric-007","張女士，G1P0，懷孕 40 週入院待產。目前子宮頸擴張 4 公分，變薄 50%，先露部位高度為 0，羊膜完整，無特殊異常狀況，胎心率為 140 bpm。她詢問：「我可以下床走走嗎？」，護理師最適當的回答是：",7,{"webId":42,"stem":43,"number":29,"year":44,"session":10},"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？",106,{"webId":46,"stem":47,"number":48,"year":44,"session":31},"nurse-106-2-maternal-pediatric-017","胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",17,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-2-maternal-pediatric-055","陳小妹，2 歲，12 公斤，被人從火場中救出，全身 30%的部分皮層燒傷，至今已過 1 小時，現以靜脈輸液幫浦提供輸液，輸液的速度每小時應為幾 mL？",55,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-019","林女士 G 2 P 2 ，採陰道分娩，產後第 1 天，觸診子宮偏軟，位置與肚臍同高並偏向右側，此時優先的護理評估項目為何？",19,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-maternal-pediatric-053","張小妹，妊娠 28 週出生，體重 960 公克，有關早產兒的特徵及照護，下列敘述何者正確？",53,110,"2026-08-06",1787299089193]