[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-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-106-2-產兒科護理學-015","nurse-106-2-maternal-pediatric-015",106,2,15,"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？",{"A":14,"B":15,"C":16,"D":17},"比夏計分（Bishop score）≧6 分，引產較可能成功","使用催產素（oxytocin）會增加排尿量，需觀察輸出入液量","前列腺素主要是刺激血管平滑肌，促使子宮規律收縮","若胎位不正時建議採人工破水引產","A",null,[],"本題考點在引產成功評估與催產藥物特性。比夏計分（Bishop score）評估子宮頸成熟度（含擴張、變薄、位置、質地與胎頭位置），分數越高子宮頸越成熟、引產越可能成功，一般 ≥6 分預後較佳，故 A 正確、選 A。B 錯，催產素（oxytocin）具抗利尿作用會「減少」排尿、有水中毒風險，須觀察輸出入液量，敘述方向相反；C 錯，前列腺素主要作用是促使子宮頸成熟與「子宮平滑肌」收縮，而非「血管平滑肌」；D 錯，胎位不正（如橫位）通常是引產禁忌，不宜貿然人工破水引產以免臍帶脫垂等風險。","Bishop score 記憶——分數越高、子宮頸越「熟」，引產越順；分數低時常先用前列腺素促子宮頸成熟再給催產素。催產素（oxytocin）副作用重點：因結構近似抗利尿激素，大量長時間使用致水滯留、低血鈉、水中毒，故監測輸出入量與宮縮強度（過強致子宮過度刺激、胎兒窘迫）。前列腺素（如 PGE2、misoprostol）作用於子宮頸與子宮肌，促軟化與收縮。引產禁忌含胎位不正、前置胎盤、頭盆不對稱等。此題整合引產評估與藥理副作用。",[24,27,29,32,34],{"term":25,"count":26},"子宮頸成熟度",5,{"term":28,"count":10},"前列腺素促子宮頸成熟",{"term":30,"count":31},"比夏計分Bishop score",1,{"term":33,"count":31},"催產素oxytocin抗利尿水中毒",{"term":35,"count":31},"引產禁忌胎位不正",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-maternal-pediatric-016","產婦於第三產程後，依醫囑施打宮縮藥物（Methergine ○ R , Ergonovine）。護理師於下列何種情況需停止給藥？",16,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-107-1-maternal-pediatric-032","楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",32,107,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-107-2-maternal-pediatric-046","鐮狀細胞貧血（sickle cell anemia）病童不會出現下列何項臨床表徵？",46,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-109-1-maternal-pediatric-004","羊膜穿刺術理想檢測時間為懷孕 16～18 週，下列何者不是考量此時間點檢測的主要原因？",4,109,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-110-1-maternal-pediatric-048","有關兒童疼痛概念與認知的敘述，下列何者錯誤？",48,110,{"webId":61,"stem":62,"number":10,"year":63,"session":10},"nurse-111-2-maternal-pediatric-002","阮女士，目前懷孕 30 週，飲食偏好辣與冷食，公婆一直抱怨這樣飲食型態對孩子健康不好，下列護理處置，何者較不適當？",111,"2026-09-04",1788510699177]