[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-106-2-產兒科護理學-013","nurse-106-2-maternal-pediatric-013",106,2,13,"下列何者為運用門閾理論來緩解宮縮疼痛不適的措施？",{"A":14,"B":15,"C":16,"D":17},"聽音樂","溫水淋浴","尾骶骨按摩","注意力集中法","C",null,[],"本題考點在以疼痛門閾（門閾控制理論，gate control theory）緩解宮縮疼痛的措施。門閾理論主張非疼痛的觸壓覺（粗神經纖維）傳入可「關閉」脊髓後角的疼痛閘門，抑制細神經纖維傳遞的痛覺。尾骶骨按摩透過觸壓刺激競爭性關閉閘門、阻斷痛覺傳導，正是門閾理論的應用，故選 C。A 聽音樂、D 注意力集中法屬「分散注意力／認知」策略，作用於中樞而非閘門機轉；B 溫水淋浴偏向溫熱與放鬆效果。三者雖能緩痛，但機轉並非門閾理論的觸壓抑痛，故不選。","門閾控制理論（Melzack & Wall）：粗的 Aβ 纖維（傳觸壓）活化脊髓後角膠質細胞，抑制細的 C 與 Aδ 纖維（傳痛）之傳入，等於「關上痛覺的門」，故按摩、撫觸、經皮電刺激（TENS）皆屬此類。待產常用非藥物止痛尚有呼吸調節、溫水、姿勢改變、意象引導與陪產支持。區辨關鍵——涉及「觸、壓、摩、電刺激」者屬門閾理論；涉及「轉移注意、想像、音樂」者屬認知分散策略。此題測驗能否從機轉層次分類止痛法。",[24,27,28,30,32],{"term":25,"count":26},"門閾控制理論gate control",1,{"term":16,"count":26},{"term":29,"count":26},"觸壓覺抑制痛覺",{"term":31,"count":26},"Aβ纖維與C纖維",{"term":33,"count":26},"非藥物減痛法分類",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-014","高女士第一胎，待產時子宮收縮每 5～7 分鐘一次，持續時間 30～40 秒，強度為輕微～中度，子宮頸口為 2～3 公分，少許陰道出血，尚未破水，神情顯得愉快。此時適宜的護理指導為何？",14,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-107-1-maternal-pediatric-030","承上題，下列何者可能為造成上述情形的原因？",30,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-maternal-pediatric-044","琳琳，9 個月大，因細支氣管合併肺炎再度住院，醫囑需要胸腔物理治療，有關協助家屬進行出院準備，下列護理指導何者正確？",44,{"webId":49,"stem":50,"number":10,"year":51,"session":26},"nurse-109-1-maternal-pediatric-002","具有伸展會陰部肌肉功用的產前運動項目，下列何者最相關？",109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-1-maternal-pediatric-046","下列何者是造成兒童燒傷急救期（emergent period）休克的主要原因？",46,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-1-maternal-pediatric-080","張小妹，10 歲，罹患腦膜炎，出現顱內壓增高（Increased intracranial pressure, IICP），下列護理措施何者不適當？",80,111,"2026-09-04",1788510699159]