[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-017","nurse-106-2-maternal-pediatric-017",106,2,17,"胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","②④","D",null,[],"本題考點在枕後位（occiput posterior, OP）對產程的影響，題目要挑正確組合。枕後位時胎頭俯屈與旋轉不良，導致②第一產程時間延長、④子宮頸擴張較慢，且產婦常有明顯背部疼痛，故正確為②④、選 D。①「子宮收縮力比較弱」不正確——枕後位產程延長並非因宮縮無力，宮縮本身未必減弱；③「先露部下降較快」也不正確，枕後位因胎頭徑線較不利，下降反而較慢、較困難。故含①或③的 A、B、C 組合皆錯。","枕後位機轉：胎兒枕部朝向母體薦骨，胎頭需旋轉較大角度（多需轉 135 度成枕前位）才利娩出，故產程延長、子宮頸擴張與下降變慢，並因枕骨壓迫薦神經叢引起劇烈「背部陣痛（back labor）」。護理可協助改善——採手膝跪姿、側臥、薦骨反壓（尾骶骨按摩）促胎頭旋轉並緩解背痛。多數枕後位在產程中會自行轉為枕前位娩出，少數需器械協助。此題辨識重點在區分「產程延長／擴張慢」（對）與「宮縮弱／下降快」（錯）。",[24,27,29,31,33],{"term":25,"count":26},"枕後位OP",1,{"term":28,"count":26},"第一產程延長",{"term":30,"count":26},"子宮頸擴張較慢",{"term":32,"count":26},"背部陣痛back labor",{"term":34,"count":26},"胎頭旋轉不良",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-maternal-pediatric-018","李女士 G 3 P 0 ，已入院待產 12 小時。她說：「我好想用力哦！」，此時護理師最佳的評估是下列何者？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-107-1-maternal-pediatric-034","承上題，針對何女士的狀況，下列措施何者較適當？",34,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-maternal-pediatric-048","協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",48,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-109-1-maternal-pediatric-006","一位第三孕期婦女，飲食為蛋奶素，有關孕期飲食指導，下列何者錯誤？",6,109,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-110-1-maternal-pediatric-050","嬰兒最早發展的知覺為下列何者？",50,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-004","王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",4,111,"2026-09-04",1788510699198]