[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-107-1-產兒科護理學-007","nurse-107-1-maternal-pediatric-007",107,1,7,"有關拉梅茲生產預備與訓練之原理，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"分散注意之焦點為條件反射訓練","呼吸技巧反覆訓練以達條件反射之效果","孕婦具備陣痛因應技巧，可免於害怕、緊張、疼痛的循環","腹部按摩法利用門閾理論","A",null,[],"本題考點為拉梅茲生產預備法的原理。拉梅茲以呼吸技巧與注意力轉移協助產婦因應陣痛,其中「分散注意焦點(focal point)」是引導產婦將注意力集中於固定焦點以轉移對疼痛的感受,屬注意力轉移機制而非條件反射訓練,故A敘述錯誤。B呼吸技巧經反覆練習形成條件反射,使陣痛時能自動運用,正確;C具備因應技巧可打破「害怕—緊張—疼痛」的惡性循環,正確;D腹部按摩法(effleurage)運用門閾控制理論以觸覺刺激抑制痛覺傳導,正確。本題重點在區分各技巧背後的學理。","拉梅茲法(精神預防性無痛分娩)整合數個原理:呼吸技巧屬古典制約(反覆練習成條件反射);腹部輕撫按摩(effleurage)依門閾控制理論(gate control),以粗神經纖維的觸覺輸入關閉痛覺傳入之閘門;衛教與練習則降低對未知的恐懼,打破Read提出的恐懼—緊張—疼痛循環。注意力集中於焦點屬認知性的注意力轉移,與制約反射屬不同機制,是本題設計的辨別點。",[24,27,29,31],{"term":25,"count":26},"拉梅茲生產法",2,{"term":28,"count":26},"條件反射",{"term":30,"count":10},"門閾控制理論",{"term":32,"count":10},"恐懼緊張疼痛循環",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-008","王女士於醫師建議下，於妊娠 7 週進行超音波檢查，護理師的說明，下列何者不適當？",8,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-maternal-pediatric-024","有關產後性行為（sexual intercourse）的護理指導，下列敘述何者最適當？",24,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-038","最常導致愛滋病患神經系統感染的病原體為何？",38,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-2-maternal-pediatric-040","王女士 26 歲，結婚 2 年，因性交疼痛令其十分困擾而就診，下列護理措施何者錯誤？",40,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-2-maternal-pediatric-074","陳小弟，4 歲，診斷急性腎絲球性腎炎（acute glomerulonephritis），下列護理指導何者最適當？",74,111,"2026-09-04",1788510703309]