[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-011":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-011","nurse-115-2-maternal-pediatric-011",115,2,11,"有關第三產程的護理，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"評估新生兒生理狀況","觀察胎盤剝離的徵象","觀察惡露量並教導按摩子宮","協助親子互動及母乳哺餵","C",null,[],"本題考點是產程分期與各期護理重點的對應。第三產程定義為胎兒娩出至胎盤完全娩出，時間約數分鐘至三十分鐘，護理焦點在胎盤剝離徵象、出血量估計、新生兒即刻評估與親子接觸；觀察惡露量並教導子宮按摩屬第四產程（產後最初一至二小時）與產後病房照護的內容，故錯誤者為 C。A 正確：新生兒 Apgar 評分與呼吸、體溫穩定的評估在此期進行。B 正確：子宮呈球狀上升、臍帶外露變長、突然湧出少量血液是胎盤剝離的典型徵象。D 正確：產台上的肌膚接觸與早期哺乳於此期銜接。","四個產程可用「開—生—胎盤—穩定」記：第一產程子宮頸擴張與胎頭下降；第二產程全開至胎兒娩出；第三產程胎盤娩出；第四產程產後一至二小時的生命徵象、子宮收縮與惡露監測。胎盤剝離型態亦是常見考點：Schultze 型由中央先剝離、以胎兒面先露出、外觀較光亮；Duncan 型由邊緣先剝離、以母體面先露出、出血較早且量較多。延伸可連結產後出血四大原因（子宮收縮不良、產道創傷、胎盤組織殘留、凝血異常）。",[24,26,29,31],{"term":25,"count":10},"第四產程",{"term":27,"count":28},"第三產程護理",1,{"term":30,"count":28},"胎盤剝離徵象",{"term":32,"count":28},"Apgar 評分",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-012","自然產後 4 小時，協助個案下床解尿後，觸診子宮為堅硬狀，子宮底與肚臍平並且置中。觀察產後棉片每 20 分鐘就濕透一片，並不斷流出鮮紅色物，當時血壓 90\u002F56 mmHg。下列敘述何者最適當？",12,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-maternal-pediatric-058","小瑛，出生時體重為 3 Kg，有關其體重的發展之評估標準，下列何者正確？",58,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-072","罹患胰島素依賴型糖尿病（IDDM）的 12 歲病童，參加營養衛教課，當病童能說出下列何者，表示護理師此次衛教已經成功？",72,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-maternal-pediatric-030","李小弟出生第 2 天，無臉部表情與眼睛活動，呼吸規律，偶有驚嚇反應及突發的吸吮動作，此睡眠與活動狀態屬於那一期？",30,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-maternal-pediatric-074","下列何者血液疾病不屬於體染色體隱性遺傳？",74,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-028","聽診新生兒心跳速率的部位，下列何者正確？",28,110,"2026-08-06",1787299006900]