[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-008","nurse-115-1-maternal-pediatric-008",115,1,8,"吳女士，懷孕 40 週，規則陣痛入院待產，主述：「清晨 1 點開始，陸續出現不規則陣痛，清晨 3 點開始規律宮縮，大約 5～6 分鐘就痛一次。」下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分自然娩出一健康男嬰。下午 4 點 20 分胎盤娩出。吳女士此次生產第二產程歷經多久時間？",{"A":14,"B":15,"C":16,"D":17},"0 小時 10 分鐘","1 小時 10 分鐘","1 小時 20 分鐘","12 小時 00 分鐘","B",null,[],"本題考點是產程分期的時間界定。依產程定義,第二產程自子宮頸完全擴張(10 公分)開始,至胎兒完全娩出為止;本案下午 3 點子宮頸全開、下午 4 點 10 分娩出男嬰,歷時 1 小時 10 分鐘,故 B 正確。A 的 10 分鐘是第三產程,即胎兒娩出(16:10)到胎盤娩出(16:20)之間。C 的 1 小時 20 分鐘誤把胎盤娩出時間也算進第二產程,混淆了第二與第三產程的分界。D 的 12 小時是第一產程,自規律宮縮開始的清晨 3 點算到子宮頸全開的下午 3 點;清晨 1 點的不規則陣痛屬臨產期徵象,不列入第一產程計時。","四個產程的分界可用「三個事件」定位:規律宮縮開始→子宮頸全開→胎兒娩出→胎盤娩出,分別切出第一、第二、第三產程,第四產程則指胎盤娩出後的一至四小時,重點在觀察子宮收縮與出血。時間上限也常出題:初產婦第二產程一般以兩小時為界,使用硬膜外麻醉者可延長至三小時,經產婦則明顯較短;第三產程超過 30 分鐘胎盤未剝離,即需考慮胎盤滯留。計時的陷阱幾乎都設在兩處:一是把不規則的假性陣痛算進第一產程,二是把第三產程併入第二產程,答題時先在紙上畫時間軸標出三個事件再減,遠比心算可靠。可延伸複習:第一產程再分潛伏期、活動期與過渡期,以及各期的護理重點。",[24,27,29,31,33],{"term":25,"count":26},"第二產程定義",2,{"term":28,"count":26},"第一產程定義",{"term":30,"count":10},"第三產程定義",{"term":32,"count":10},"臨產期",{"term":34,"count":10},"產程時間上限",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-009","有關待產期間使用電子胎心音監測之敘述，下列何者錯誤？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"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？",5,106,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-106-2-maternal-pediatric-019","黃女士 G 1 P 1 ，陰道生產，第一天親子同室時，仔細的觀察新生兒並詢問其外觀特性，此時護理師的反應何者最為適當？",19,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-057","小華，2 歲，護理師在給與左耳用藥時，下列護理措施何者正確？",57,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-021","產後 6～10 天心跳次數較孕前減緩，最可能的原因為何？",21,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-maternal-pediatric-055","小傑，2 歲，罹患重度海洋性貧血（Thalassemia），需反覆入院輸血。母親為印尼裔回教徒的新住民，中文溝通有限，有關以家庭為中心的護理計畫，下列敘述何者最適當？",55,110,"2026-08-06",1787299089217]