[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-106-2-產兒科護理學-008","nurse-106-2-maternal-pediatric-008",106,2,8,"有關無壓力試驗（Non-stress test）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胎心音維持在 140 下／分、變異性＜5bpm，表示胎心音穩定，為反應型","若出現 20 分鐘沒有胎動，則應馬上報告，緊急處理","若 20 分鐘有 2 次以上胎動，胎動時心跳上升 15bpm 持續 15 秒，為反應型","試驗期間約 20～30 分鐘，孕婦必須平躺以確保紀錄正確","C",null,[],"本題考點在無壓力試驗（Non-stress test, NST）反應型的判讀標準。反應型（reactive，代表胎兒狀況良好）的定義為：20 分鐘內出現至少 2 次胎動，且每次胎動伴隨胎心率上升至少 15 bpm、持續至少 15 秒，故 C 正確、選 C。A 錯，變異性小於 5 bpm 反而提示胎兒可能缺氧或睡眠，非「穩定反應型」；B 錯，20 分鐘無胎動可能是胎兒睡眠，應先刺激或延長觀察，而非立即判定緊急；D 錯，NST 孕婦宜採半坐臥或左側臥以避免仰臥低血壓症候群，「必須平躺」的敘述錯誤。","反應型口訣「2015 兩次」——20 分鐘、2 次胎動、心跳上升 15 bpm、持續 15 秒。判讀原理：健康胎兒活動時交感神經使心跳加速，反映自主神經與氧合良好；無反應型則需進一步以生理活動評估或催產素激惹試驗（CST）確認。仰臥時增大子宮壓迫下腔靜脈致回心血量減少（仰臥低血壓症候群），故監測時避免平躺、採左側臥改善子宮胎盤灌流。變異性降低（\u003C5 bpm）為需警覺的胎兒窘迫線索。",[24,27,30,32,35],{"term":25,"count":26},"無壓力試驗NST",6,{"term":28,"count":29},"仰臥低血壓症候群",5,{"term":31,"count":10},"反應型判讀標準",{"term":33,"count":34},"胎動與胎心加速",1,{"term":36,"count":34},"胎心變異性",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-2-maternal-pediatric-009","有關海洋性貧血的敘述，下列何者錯誤？",9,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-107-1-maternal-pediatric-025","新生兒經產道出生，首次呼吸產生之機轉過程，下列敘述何者正確？",25,107,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",39,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-108-2-maternal-pediatric-077","王小弟，3 歲，罹患腎病症候群（nephrotic syndrome），目前服用 prednisolone 治療。護理師在安排與王小弟同住的病童時，下列何者適宜？",77,108,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-110-1-maternal-pediatric-041","依據「兒童及少年福利與權益保障法」第 53 條，當護理師知悉兒童非法施用毒品或管制藥品、遭受虐待或其他傷害，至遲不得超過幾小時，應立即向主管機關通報？",41,110,{"webId":62,"stem":63,"number":64,"year":65,"session":34},"nurse-111-1-maternal-pediatric-075","有關先天性巨結腸症的臨床表徵，下列敘述何者錯誤？",75,111,"2026-09-04",1788510699103]