[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-115-2-產兒科護理學-010","nurse-115-2-maternal-pediatric-010",115,2,10,"監測待產婦胎心速率時，護理師發現胎心監測紀錄在胎動時有胎心率加速 10 bpm 的情形，下列何項處置較適宜？",{"A":14,"B":15,"C":16,"D":17},"胎心率不正常宜儘快通知醫師","協助待產婦重新擺位以改善上述情形","測量生命徵象並告知待產婦多臥床休息","告知待產婦這表示胎兒狀況良好","D",null,[],"本題考點是胎心監測中「加速（acceleration）」的臨床意義判讀。依胎心圖判讀原則，胎動時出現胎心率加速代表胎兒中樞神經與自主神經反應完好、無明顯酸中毒，屬令人安心（reassuring）的正常表現，因此適當的處置是向待產婦說明胎兒狀況良好，選 D。A 錯：加速並非異常型態，異常需看晚期減速、變異性減速或基線變異性喪失。B 錯：重新擺位是用於改善減速或子宮胎盤灌流不足，此處無此問題。C 錯：加速不需以臥床休息處理，長時間臥床反而不利產程。須說明的限制是嚴格判讀準則對加速幅度另有數值定義，本題重點在辨識加速屬正常反應。","標準判讀中，妊娠 32 週以後的加速定義為自基線上升 15 bpm 並持續 15 秒以上，未滿 32 週則放寬為 10 bpm 持續 10 秒；因此幅度較小的加速在早產週數仍屬正常，這也是本題答案不以幅度否定其意義的理由。可對照記憶胎心型態四大類：早期減速對應胎頭受壓、變異性減速對應臍帶受壓、晚期減速對應子宮胎盤灌流不足、加速對應胎兒健康。延伸可連結基線變異性的重要性與 NST 反應性判讀。",[24,26,29,31],{"term":25,"count":10},"胎兒健康評估",{"term":27,"count":28},"胎心加速的定義",1,{"term":30,"count":28},"胎心圖判讀",{"term":32,"count":28},"減速型態鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-011","有關第三產程的護理，下列何者錯誤？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-maternal-pediatric-057","有關出血性登革熱（dengue hemorrhagic fever）敘述，下列護理措施何者錯誤？",57,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-071","章小妹，出生 3 天的足月兒，疑似罹患先天性腎上腺增生症，下列敘述何者錯誤？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-maternal-pediatric-029","有關新生兒皮膚之敘述，下列何者錯誤？",29,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-maternal-pediatric-073","罹患開放性動脈導管的病童，較不會出現下列何種症狀？",73,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-027","有關新生兒髖關節脫臼的身體或姿勢表徵，下列何者錯誤？",27,110,"2026-08-06",1787299006898]