[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-012":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-106-1-產兒科護理學-012","nurse-106-1-maternal-pediatric-012",106,1,12,"蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",{"A":14,"B":15,"C":16,"D":17},"因子宮韌帶伸張、陰道及會陰肌肉伸展所致","因待產時經常採用同一種臥位而導致背部與腰部神經受壓迫所致","因子宮體下段伸展、子宮頸擴張與子宮收縮時肌肉細胞缺氧所致","因子宮收縮，神經衝動由第 2～4 尾椎神經傳入脊髓所致","C",null,[],"本題考點為第一產程疼痛的生理來源。依產程疼痛機轉,子宮頸口開4公分屬第一產程,此期疼痛源於子宮體下段伸展、子宮頸擴張,以及子宮收縮時肌肉細胞相對缺氧,經內臟神經傳導,故選C。選項A所述子宮韌帶伸張、陰道及會陰肌肉伸展屬第二產程胎兒下降時的疼痛來源;選項B將產痛歸因於臥位壓迫神經,屬姿勢性不適而非產痛本質;選項D稱衝動由第2至4尾椎神經傳入,神經節段錯誤,第一產程痛覺主要經第10胸椎至第1腰椎(T10至L1)脊神經傳入。","產痛神經節段是常考重點:第一產程屬內臟痛,經T10至L1傳入,痛感瀰漫於下腹與下背;第二產程加入會陰、陰道伸展的軀體痛,經陰部神經(S2至S4)傳入,痛感明確集中。這也解釋硬脊膜外止痛需涵蓋T10至S4節段的原因。",[24,27,29,31],{"term":25,"count":26},"子宮頸擴張",5,{"term":28,"count":10},"第一產程疼痛",{"term":30,"count":10},"內臟痛",{"term":32,"count":10},"T10至L1神經傳導",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-013","承上題，護理師提供蘇女士背部按摩以減輕疼痛，此護理措施是根據那一種疼痛理論？",13,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-maternal-pediatric-029","有關女性新生兒生殖器之成熟度評估，下列何者最成熟？",29,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-maternal-pediatric-043","陳小妹，2 歲半，在保母家吃飯時，即使弄得到處亂七八糟，仍堅持要自己吃，不要給保母餵，根據艾瑞克森（Erikson）的理論，這個行為表現屬於何種發展任務？",43,107,{"webId":49,"stem":50,"number":10,"year":51,"session":42},"nurse-108-2-maternal-pediatric-001","依據世界衛生組織及聯合國兒童基金會推行的政策，要成為母嬰親善醫院需符合下列那一項規定？",108,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-109-2-maternal-pediatric-045","強強 4 歲，誤食退燒藥，至急診求治，診斷為乙醯氨基酚（acetaminophen）中毒，下列敘述何者正確？",45,109,{"webId":58,"stem":59,"number":60,"year":61,"session":42},"nurse-110-2-maternal-pediatric-079","陳小妹，於學校上體育課時，出現強直陣攣型痙攣（tonic-clonic seizure）發作，下列護理措施何者最不適當？",79,110,"2026-09-04",1788510693648]