[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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":10},"nurse-106-2-產兒科護理學-014","nurse-106-2-maternal-pediatric-014",106,2,14,"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？",{"A":14,"B":15,"C":16,"D":17},"教導經常記得排空膀胱","教導禁食以防嘔吐","建議絕對臥床休息，禁止下床走動","建議施行人工破水以助於胎頭下降","A",null,[],"本題考點在潛伏期待產婦的護理指導。題幹顯示子宮頸口 2～3 公分、宮縮 5～7 分鐘一次、持續 30～40 秒、輕至中度、未破水、產婦愉快，屬第一產程潛伏期，狀況穩定。此期宜鼓勵活動、適度進食並定時排空膀胱——脹滿的膀胱會阻礙胎頭下降與子宮收縮，故教導經常排空膀胱最適當、選 A。B 錯，潛伏期未破水且穩定可適度進食補充體力，非一律禁食；C 錯，未破水且穩定應鼓勵下床活動以助產程，非絕對臥床；D 錯，人工破水為醫療處置，非此期常規護理指導，且無指徵。","第一產程分潛伏期（子宮頸 0～3 公分，宮縮較緩）與活動期（3～10 公分，宮縮漸強）。潛伏期護理重點——鼓勵走動、變換姿勢促進胎頭下降，定時排尿（脹膀胱妨礙下降並增產後尿滯留風險），適度補充易消化飲食與水分維持體力，提供放鬆與支持。禁食主要用於預期麻醉或高風險情境，非常規。人工破水（amniotomy）屬引產或加速產程的醫療決策，須有指徵。此題辨識重點為「穩定潛伏期以促進、支持為原則，而非限制」。",[24,26,29,31,33],{"term":25,"count":10},"第一產程潛伏期",{"term":27,"count":28},"排空膀胱助胎頭下降",1,{"term":30,"count":28},"潛伏期鼓勵活動",{"term":32,"count":28},"適度進食補充體力",{"term":34,"count":28},"人工破水為醫療處置",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-maternal-pediatric-015","高女士已超過預產期 3 天，醫師建議入院引產，下列敘述何者正確？",15,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-107-1-maternal-pediatric-031","產後婦女使用子宮收縮劑 Methergine 時，須特別留意下列何項生命徵象？",31,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-maternal-pediatric-045","為嬰幼兒進行胸腔物理治療的叩擊（percussion）時，下列何項步驟不適當？",45,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-109-1-maternal-pediatric-003","孕婦對懷孕產生負向感覺，並隨著妊娠進展會擔心胎兒是否斷手斷腳或是有缺陷，此為那一孕期最常見的心理反應？",3,109,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-110-1-maternal-pediatric-047","早產兒吸吮力弱，有關使用口胃管灌食的注意事項，下列敘述何者不適當？",47,110,{"webId":60,"stem":61,"number":28,"year":62,"session":10},"nurse-111-2-maternal-pediatric-001","有關懷孕期正常內分泌變化的敘述，下列何者正確？",111,"2026-09-04",1788510699163]