[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-115-2-產兒科護理學-002","nurse-115-2-maternal-pediatric-002",115,2,"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？",{"A":13,"B":14,"C":15,"D":16},"臍帶血採樣（PUBS）","無壓力試驗（NST）","宮縮壓力測試（CST）","羊膜穿刺檢查（amniocentesis）","B",null,[],"本題考點是胎兒健康評估工具的侵入性與風險分級。依無壓力試驗（NST）的原理，僅以外部監測器記錄胎動時的胎心加速，反映胎兒中樞神經與自主神經功能完好，屬非侵入性、不誘發子宮收縮，對疑似胎兒生長受限併羊水量偏少的個案風險最低，故選 B。A 臍帶血採樣（PUBS）需經腹穿刺入臍靜脈，有出血、臍帶血腫、胎兒心搏過緩與流產風險。C 宮縮壓力測試（CST）須誘發子宮收縮，對胎盤功能已可能受損的胎兒會加重缺氧，並有早產風險。D 羊膜穿刺屬侵入性，且羊水量偏少時取樣困難、感染與破水風險升高。","評估工具可依「侵入程度」排序記憶：NST 與生物物理評估（BPP）為非侵入 → CST 為間接介入（誘發宮縮）→ 羊膜穿刺、PUBS 為直接侵入。題幹提到呼吸運動與肌肉張力正常，是 BPP 五項指標中的兩項，剩下的胎動、羊水量與 NST 反應性正是判讀重點；此個案羊水量減少已扣分，故臨床邏輯是先做風險最低的 NST 確認胎心反應性。可延伸連結子宮胎盤灌流不足導致的羊水過少機轉、以及 NST 反應性的判讀標準。",[23,26,29,31],{"term":24,"count":25},"無壓力試驗 NST",3,{"term":27,"count":28},"宮縮壓力測試 CST",1,{"term":30,"count":28},"生物物理評估 BPP",{"term":32,"count":28},"侵入性產前診斷風險",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":25,"year":9,"session":10},"nurse-115-2-maternal-pediatric-003","有關孕期乙型鏈球菌篩檢之敘述，下列何者正確？",{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-106-1-maternal-pediatric-049","王小弟，10 歲，頭部外傷住加護病房治療，因病情穩定轉出至兒科病房，然病童仍躁動不安，欲拔除鼻胃管及靜脈注射留置針，經護理評估為了病人安全需給予約束，下列護理措施何者正確？",49,106,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-106-2-maternal-pediatric-063","廖小妹，2 個月，罹患心室中膈缺損，因肺炎引發鬱血性心衰竭（congestive heart failure）而入院，下列那一項不屬於鬱血性心衰竭的臨床表徵？",63,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-108-1-maternal-pediatric-021","李女士剖腹生產後第 1 天，生命徵象正常，尚未排氣，惡露為少量的深紅色，下列護理指導何者適當？",21,108,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-109-1-maternal-pediatric-065","臺灣安寧緩和醫療條例保障不可治癒之臨終末期病人的醫療意願，有關兒童安寧緩和醫療照護，下列敘述何者錯誤？",65,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-maternal-pediatric-019","張女士產後第一天，表示：「初乳黃黃黏黏的，聽說對嬰兒不好，等等我把它擠掉以後再餵奶。」，下列敘述何者正確？",19,110,"2026-08-06",1787299006886]