[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-009","nurse-115-1-maternal-pediatric-009",115,1,9,"有關待產期間使用電子胎心音監測之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"有助了解宮縮及胎心音的持續性變化","健康待產婦建議持續的使用","未破水或子宮頸尚未擴張，皆可運用體外的方法進行監測","注意調節機器的音量，以免干擾待產婦休息","B",null,[],"本題考點是電子胎心音監測的適用對象與時機。依現行產科照護指引,低危險、健康的待產婦以間歇性聽診即可,不建議常規持續電子監測,因持續監測的偽陽性判讀多、會提高不必要的剖腹產與器械生產率,又限制產婦活動與姿勢變換,故 B 敘述錯誤。A 正確,電子監測同步描繪宮縮與胎心率曲線,才能判讀基準線、變異性與早期、晚期、變異減速等型態。C 正確,體外(間接)監測以超音波探頭與宮縮壓力計貼附腹部,不需破水或子宮頸擴張即可施行,內置電極才有此前提。D 正確,調節音量以免干擾休息,屬減少環境刺激的舒適護理。","減速型態的機轉是本題延伸的核心:早期減速與宮縮同步呈鏡像,來自胎頭受壓引發迷走神經反射,屬良性;晚期減速在宮縮結束後才落到最低點,反映子宮胎盤灌流不足造成的缺氧,是最需警覺的型態;變異減速形狀不一、與宮縮無固定關係,來自臍帶受壓,常見於羊水過少或臍帶繞頸。低危險待產婦間歇性聽診的常見頻率是第一產程活動期每 15 至 30 分鐘、第二產程每 5 至 15 分鐘,並於宮縮結束後聽診以評估反應。持續監測的真正適應症是高危險妊娠:妊娠高血壓疾病、糖尿病、胎兒生長遲滯、催生或引產中、胎便染色羊水等。可延伸複習:胎心率基準線變異性的意義(反映自主神經成熟與含氧狀態)與胎兒頭皮刺激測試。",[24,27,30,32,34],{"term":25,"count":26},"晚期減速",3,{"term":28,"count":29},"間歇性聽診",2,{"term":31,"count":10},"持續電子胎心監測",{"term":33,"count":10},"體外間接監測",{"term":35,"count":10},"低危險妊娠照護",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-1-maternal-pediatric-010","有關生產姿勢，下列敘述何者最不適當？",10,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"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？",6,106,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-106-2-maternal-pediatric-020","有關母乳哺育的護理指導，下列何者正確？",20,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-107-2-maternal-pediatric-058","惠惠，4 歲，護理師預計在 30 分鐘內完成 2c.c.的抗生素靜脈滴注，目前以每小時 60c.c.的速度接受靜脈輸液，應該如何處置？",58,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-1-maternal-pediatric-022","有關哺餵母乳婦女產後排卵與月經之生理變化，下列敘述何者正確？",22,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-1-maternal-pediatric-056","早產兒常出現呼吸暫停現象，下列敘述何者正確？",56,110,"2026-08-06",1787299089231]