[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-107-1-產兒科護理學-010","nurse-107-1-maternal-pediatric-010",107,1,10,"有關生產過程中子宮肌肉活動的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"胎兒先露部位壓迫子宮頸口會促進其變薄的程度","子宮出現生理性收縮環，上段肌肉會變薄","羊膜腔形成的靜水壓會促進子宮頸口的擴張程度","宮縮時胎兒軸壓力的形成會促進子宮頸口擴張","B",null,[],"本題考點為生產時子宮上下段肌肉活動的變化。分娩時子宮分為上段(主動段)與下段(被動段),依主動段持續收縮的機轉,上段肌肉會逐漸「變厚、變短」以推進胎兒,下段則變薄拉長,故B「生理性收縮環,上段肌肉會變薄」方向相反、為錯誤敘述。A胎兒先露部位壓迫子宮頸口會促進子宮頸變薄(effacement),正確;C羊膜腔內的靜水壓可協助子宮頸擴張,正確;D宮縮時經由胎兒縱軸傳導的壓力(胎軸壓)促進子宮頸擴張,正確。本題重點在上厚下薄的分娩力學。","分娩時子宮上段主動收縮並回縮(retraction),纖維愈縮愈短使上段增厚,推力向下;下段與子宮頸則被動變薄擴張,兩者交界形成生理性收縮環(physiologic retraction ring)。若產程受阻、下段被過度拉薄,收縮環上移形成病理性收縮環(Bandl's ring),是子宮破裂前兆的警訊。記憶:「上段變厚推、下段變薄開」;子宮頸變薄(effacement)與擴張(dilatation)是評估產程進展的兩大指標。",[24,26,28,30],{"term":25,"count":10},"子宮上下段",{"term":27,"count":10},"生理性收縮環",{"term":29,"count":10},"子宮頸變薄與擴張",{"term":31,"count":10},"胎軸壓",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-011","王女士以陰道產娩出一足月男嬰，其第一、五分鐘的 Apgar scores 分別為 7 分和 8 分，新生兒即刻護理已完成，王女士正在進行會陰縫合，有關首次親子互動之時機，下列何者最適當？",11,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-027","劉女士第一胎，依據魯賓（Rubin）對產後婦女行為態度之研究結果判斷，下列敘述何者表示劉女士處於接受期（taking-in phase）？",27,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-041","有關異物吸入造成兒童輕微支氣管阻塞的症狀描述，下列何者錯誤？",41,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-maternal-pediatric-079","有關先天性巨結腸症（congenital megacolon）之臨床表徵，下列敘述何者錯誤？",79,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-maternal-pediatric-077","有關兒童罹患妥瑞氏症（Tourette’s disorder）的疾病特徵，下列敘述何者正確？",77,111,"2026-09-04",1788510703342]