[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-021":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":26},"nurse-115-2-產兒科護理學-021","nurse-115-2-maternal-pediatric-021",115,2,21,"葉女士，34 歲，G 1 P 0 ，於子宮頸全開後用力 2 小時，太過疲憊無法用力，準備使用真空吸引。有關真空吸引的使用，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"協助將真空吸引的吸杯置於胎兒前囟門","協助將真空吸引壓力調整為 80～100 mmHg","協助配合子宮收縮時牽引胎頭","適合胎頭尚未固定的時候執行","C",null,[],"本題考點是真空吸引助產的操作條件與牽引時機。依真空吸引的力學原理，牽引須與子宮收縮及產婦腹壓用力同步，才能使合力沿產道軸線推進胎頭並縮短施力時間、降低頭皮損傷風險，故最適當者為 C。A 錯：吸杯應置於後囟門前方的俯屈點，放在前囟門會使胎頭仰伸、通過的徑線變大並增加損傷。B 錯：80～100 mmHg 的負壓遠低於臨床所需，實際使用的負壓在數百 mmHg 等級，過低會反覆滑脫。D 錯：使用前提是子宮頸全開、胎頭已固定並下降至適當高度，胎頭未固定時屬禁忌。","適應症可歸為三類：第二產程延長或產婦用力無效、母體因疾病須避免長時間用力、以及胎兒狀況需縮短第二產程。禁忌與風險則記「位置未定、徑線不對、胎兒脆弱」：胎頭未固定、顏面或臀位、疑似胎頭骨盆不對稱、早產兒或凝血異常胎兒。新生兒常見併發症為頭皮腫（caput 加重）、頭皮血腫（cephalhematoma）與少見的顱內出血，因此娩出後需追蹤黃疸與神經學表現。延伸可對比產鉗助產的適應條件與併發症差異。",[24,27,29,31],{"term":25,"count":26},"真空吸引助產",1,{"term":28,"count":26},"俯屈點放置",{"term":30,"count":26},"第二產程延長",{"term":32,"count":26},"助產併發症頭皮血腫",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-022","有關高危險妊娠婦女的相關診斷，下列何者胎兒先天性畸形的機率較高？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-068","有關苯酮尿症（Phenylketonuria）病童飲食指導之敘述，下列何者錯誤？",68,106,{"webId":44,"stem":45,"number":10,"year":46,"session":26},"nurse-107-1-maternal-pediatric-002","有關臺灣產科護理現況之敘述，下列何者正確？",107,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-040","下列何者不屬於腦下垂體所分泌之促性腺激素（pituitary gonadotrophic hormones）？",40,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-2-maternal-pediatric-004","懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",4,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-038","下列何者不是預防新生兒臍帶感染的護理措施？",38,110,"2026-08-06",1787299007099]