[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-011","nurse-115-1-maternal-pediatric-011",115,1,11,"原本對環境充滿好奇且多言的待產婦突然對護理師說：「你看我腿一直抖…怎麼會這樣…然後我開始感覺現血量變多，宮縮變密且更痛，我是不是快生了啊？」護理師可由其言語與行為判斷產程可能進入下列何階段？",{"A":14,"B":15,"C":16,"D":17},"臨產期（prelabor phase）","潛伏期（latent phase）","活動期（active phase）","停滯期（protraction phase）","C",null,[],"本題考點是由言語與行為表現推斷第一產程的分期。依產程進展的行為特徵,產婦出現下肢顫抖、噁心、現血量增多、宮縮變密且更痛,並從原本健談好奇轉為專注於自身不適,屬活動期後段(過渡期)的典型表現,選項中僅活動期涵蓋此階段,故 C 正確。A 臨產期指真正產程開始前的徵象,如落紅、輕微不規則宮縮與胎兒下降感,宮縮不會變密變強。B 潛伏期宮縮弱、間隔長,產婦通常仍能談笑、對環境保有興趣,與題述行為明顯轉變不符。D 停滯期屬產程進展異常的診斷,必須依子宮頸擴張與胎頭下降的速率與時間判定,不能單憑言語行為推論。","第一產程三個階段的行為對照最好用「話量」記:潛伏期(0 至 3 公分)話多、能社交、對環境好奇;活動期(4 至 7 公分)話變少、開始需要專注呼吸;過渡期(8 至 10 公分)幾乎不說話、易怒、想放棄,並常出現顫抖、噁心嘔吐、打嗝、冒汗與大腿抽筋,原因是宮縮強度達高峰、兒茶酚胺大量釋放與血流重新分布。此期護理重點在陪伴與簡短明確的指導,並提醒此階段最短、即將進入用力階段。現血量增加反映子宮頸持續擴張使微血管破裂,是產程進展的客觀線索,與破水或異常出血需區分:異常出血量多、色鮮紅且可能伴隨子宮壓痛或胎心異常。可延伸複習:傳統 Friedman 產程曲線的活動期擴張速率,以及潛伏期延長與活動期停滯的定義差異。",[24,27,29,31,33],{"term":25,"count":26},"第一產程分期",4,{"term":28,"count":26},"潛伏期",{"term":30,"count":10},"過渡期行為特徵",{"term":32,"count":10},"現血",{"term":34,"count":10},"產程進展異常",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-012","陳女士，28 歲，G1P1。採用剖腹產分娩並表示渴望與新生兒能有共處時刻，下列處置何者錯誤？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-maternal-pediatric-008","有關胎兒呼吸系統發育之敘述，下列何者正確？",8,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-maternal-pediatric-022","王女士採陰道生產，問護理師：「我什麼時候可以裝子宮內避孕器？」下列回答何者正確？",22,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-maternal-pediatric-060","為 1 歲兒童測量生命徵象，下列敘述何者正確？",60,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-1-maternal-pediatric-024","胎盤娩出後，腦下垂體前葉分泌何者使乳房開始分泌乳汁？",24,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-1-maternal-pediatric-058","協助學齡前期的手足面對病童瀕死的護理措施，下列敘述何者正確？",58,110,"2026-08-06",1787299089259]