[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-106-2-產兒科護理學-018","nurse-106-2-maternal-pediatric-018",106,2,18,"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？",{"A":14,"B":15,"C":16,"D":17},"先幫妳內診，了解目前狀況是否適合用力","這是待產正常的感覺，可以側躺比較舒服","這表示即將要生產了，現在立刻送妳進產房","現在深吸一口氣，朝著陰道方向用力 10 秒鐘","A",null,[],"本題考點在待產婦出現「想用力」時的優先評估。依產程照護原則,產婦有向下用力感可能代表子宮頸已全開進入第二產程,但也可能是尚未全開的過早用力;若在子宮頸未全開時用力,會造成子宮頸水腫、裂傷並延緩產程,故護理師應先以內診確認子宮頸擴張與先露位置再決定是否可用力,答案為A。B 逕自安撫為正常、要她側躺,忽略了評估;C 直接假設即將生產送產房,屬未評估的臆測;D 未確認開全就指導用力,可能傷害子宮頸,皆不恰當。","產程分期提醒:第一產程(規則陣痛到子宮頸全開10cm)、第二產程(全開到胎兒娩出)才是可主動用力(bearing down)的時機。過早用力風險:子宮頸水腫裂傷、母體疲累、胎兒窘迫。護理決策口訣:有症狀先「評估(assess)」再「處置」——想用力=先內診確認開幾指。若確認全開且胎頭下降,再指導配合陣痛的用力。此題把「評估先於處置」的護理過程原則套進產科情境。",[24,27,29,31],{"term":25,"count":26},"產程分期",3,{"term":28,"count":10},"第二產程用力時機",{"term":30,"count":10},"子宮頸擴張評估",{"term":32,"count":33},"護理過程(先評估後處置)",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-019","黃女士 G 1 P 1 ，陰道生產，第一天親子同室時，仔細的觀察新生兒並詢問其外觀特性，此時護理師的反應何者最為適當？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-107-1-maternal-pediatric-035","下列那些生殖道感染疾病，容易造成女性骨盆腔感染？①披衣菌感染 ②淋病 ③梅毒 ④生殖器疱疹",35,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-maternal-pediatric-049","婷婷，9 個月大，體重 9 公斤，母親主訴最近一天解水便數次，現體重為 8 公斤，此屬於下列何種情況？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-109-1-maternal-pediatric-007","懷孕 35 週婦女，走路時感到鼠蹊部痛，主要是那一條子宮韌帶受影響？",7,109,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-110-1-maternal-pediatric-051","小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",51,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-005","李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",5,111,"2026-09-04",1788510699202]