[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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":11},"nurse-115-2-產兒科護理學-001","nurse-115-2-maternal-pediatric-001",115,2,1,"有關以實證為基礎的低風險婦女之生產照護原則，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"可進食清淡易消化飲食","支持自由選擇體位","非常規灌腸與剃毛","持續臥床待產","D",null,[],"本題考點是實證生產照護（intrapartum care）對低風險產婦的核心原則：鼓勵活動、非常規侵入性處置、允許適量進食。依實證研究，產程中採直立或自由體位可藉重力與骨盆傾斜角度促進胎頭下降，縮短產程並減輕疼痛，因此「持續臥床待產」屬已被推翻的舊常規，為不適當者，選 D。A 適當：低風險產婦全程禁食並無實證益處，清淡易消化飲食可維持產程能量、避免脫水與酮體堆積。B 適當：自由選擇體位正是實證照護的重點建議。C 適當：常規灌腸與剃毛無法降低感染率，反而造成黏膜與皮膚損傷，故改為非常規執行。","此題背後是 WHO「正向生產經驗」照護模式的思維轉向：從以醫療常規為中心，改為以產婦生理與自主為中心。可對比記憶三個「去常規化」項目——常規灌腸、常規剃毛、常規臥床，三者都因缺乏效益證據而退場；而三個「被鼓勵」項目則是活動與自由體位、依需求進食飲水、持續性陪產支持。延伸可連結第一產程護理、產程進展評估（Friedman 曲線與現代修正）、以及非藥物減痛措施如水療、按摩、呼吸法。",[24,26,28,29],{"term":25,"count":11},"實證生產照護原則",{"term":27,"count":11},"產程中自由體位",{"term":16,"count":11},{"term":30,"count":11},"第一產程護理",[32,35,40,44,49,54],{"webId":33,"stem":34,"number":10,"year":9,"session":10},"nurse-115-2-maternal-pediatric-002","李女士，懷孕 34 週，產檢時超音波檢查顯示胎兒體重偏小，且羊水量較少，但呼吸運動與肌肉張力皆正常，醫生建議她進一步進行胎兒健康評估，下列檢查何者對母嬰的風險較低且適合？",{"webId":36,"stem":37,"number":38,"year":39,"session":11},"nurse-106-1-maternal-pediatric-048","小馨，20 個月，身體檢查評估時，一般而言，下列那顆乳齒尚未長出？",48,106,{"webId":41,"stem":42,"number":43,"year":39,"session":10},"nurse-106-2-maternal-pediatric-062","有關學童發生氣喘會出現病理生理上的變化，下列敘述何者錯誤？",62,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-maternal-pediatric-020","下列那項父親行為最無助於與新生兒建立依附關係？",20,108,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-maternal-pediatric-018","有關產婦產後第 1 天的生理變化，下列敘述何者錯誤？",18,110,"2026-08-06",1787299006883]