[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-015","nurse-106-1-maternal-pediatric-015",106,1,15,"張女士待產時胎心率發生變異性減速（variable deceleration），此時護理師應最先執行的護理措施為下列那一項？",{"A":14,"B":15,"C":16,"D":17},"協助張女士左側臥","測量生命徵象","觀察陰道有無出血","抬高張女士頭部","A",null,[],"本題考點為胎心率變異性減速(variable deceleration)的成因與優先護理措施。依胎兒監測,變異性減速多由臍帶受壓所致,最先且最簡便的處置是改變產婦姿勢、協助左側臥以解除臍帶壓迫並增加子宮胎盤灌流,故選A。選項B測量生命徵象、選項C觀察陰道出血雖屬後續評估,但非解除臍帶受壓的第一措施;選項D抬高頭部無助於改善臍帶壓迫,反而可能減少胎盤灌流,故就優先順序而言皆不及左側臥,不為最先執行者。","胎心減速三型記憶:早期減速(early)與宮縮同步、因胎頭受壓、屬良性;晚期減速(late)於宮縮後才出現、反映子宮胎盤功能不足;變異性減速(variable)形狀不定、時間點不一、因臍帶受壓。變異性減速的第一步一律是「改變姿勢解除臍帶壓迫」,無效再給氧、停催產素、通知醫師。",[24,27,30,33],{"term":25,"count":26},"左側臥",7,{"term":28,"count":29},"變異性減速",6,{"term":31,"count":32},"臍帶受壓",5,{"term":34,"count":35},"子宮胎盤灌流",2,[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-1-maternal-pediatric-016","王女士，46 歲，因子宮肌瘤接受子宮切除手術，有關術後出院照護指導內容，下列何者適當？",16,{"webId":42,"stem":43,"number":44,"year":9,"session":35},"nurse-106-2-maternal-pediatric-032","有關孕婦缺鐵性貧血之敘述，下列何者錯誤？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-maternal-pediatric-046","林小弟，出生時，哭聲宏亮大聲，心跳速率：170 次\u002F分，軀幹顏色粉紅手腳微發紫，四肢屈曲彈性好，吸取鼻腔黏液時，臉部扭曲，其 Apgar score 的評估數值何者正確？",46,107,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",4,108,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-109-2-maternal-pediatric-048","婷婷 3 歲，喜歡吸吮大拇指，但是擔心被母親發現，所以總是以另一手遮掩，婷婷覺得自己隱藏得很好，別人不會發現。她的行為是下列何種認知思考特性的反應？",48,109,{"webId":61,"stem":62,"number":35,"year":63,"session":10},"nurse-111-1-maternal-pediatric-002","下列何者不是接受產前遺傳諮詢之高危險群孕婦？",111,"2026-09-04",1788510693670]