[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-012","nurse-107-1-maternal-pediatric-012",107,1,12,"王女士，懷孕 38 +3 週，因破水，規則陣痛而入院，子宮頸口開 5 cm，先露部位胎頭已固定，下列照護措施何者不適當﹖",{"A":14,"B":15,"C":16,"D":17},"建議可以攝取易消化食物","臥床時，將床尾抬高","解尿後，給予會陰沖洗","可下床活動，無活動禁忌","B",null,[],"本題考點在產程活躍期的照護適當性,需挑出不適當者。個案已破水、規則陣痛、子宮頸開5公分且胎頭已固定,產程進展順利。依照護原則,B 臥床時將床尾抬高(頭低腳高)是用於「先露未固定、疑似臍帶脫垂」時的防護措施,此個案胎頭已固定並非適應症,反而應鼓勵活動,故B不適當、為答。A 攝取易消化食物以維持產程能量、C 解尿後會陰沖洗維持清潔、D 胎頭已固定且無禁忌可下床活動促進產程,皆屬適當。","觀念:胎頭「固定\u002F銜接(engaged)」代表先露已入骨盆,臍帶脫垂風險大幅下降,此時鼓勵直立活動(步行、坐姿)反而利用重力促進胎頭下降與產程進展。抬高床尾\u002F膝胸臥式是臍帶脫垂緊急處置(先露未固定、破水時臍帶可能滑落)才用。破水後照護重點:評估羊水量色味、監測胎心音、注意臍帶脫垂徵象、維持清潔。此題陷阱在把「臍帶脫垂防護姿勢」誤植到已固定、進展中的正常產程。",[24,27,29,31],{"term":25,"count":26},"破水後護理",2,{"term":28,"count":10},"產程活躍期照護",{"term":30,"count":10},"胎頭固定(engagement)",{"term":32,"count":10},"臍帶脫垂防護姿勢",[34,38,42,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-013","有關硬腦膜外減痛分娩的使用機轉與時間之敘述，下列何者正確？",13,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-maternal-pediatric-029","有關新生兒黃疸之敘述，下列何者正確？①黃疸最先出現於額頭 ②黃疸症狀漸漸由頭往下，由身體中心向外發展至四肢 ③新生兒出生第 3 天血中膽紅素大於 14 mg\u002FdL，不需處理 ④可輕壓鼻尖觀察皮膚黃疸的情形 ⑤新生兒黃疸照光應保護眼睛與生殖器",29,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-043","林小弟，妊娠週數 37 週又 3 天，出生體重 2950 公克，採純母乳哺餵，今體重 2620 公克，減少出生體重的 10%以上，給予檢測血糖為 33 mg\u002FdL，有關低血糖可能造成的影響及處理，下列何者錯誤？",43,108,{"webId":48,"stem":49,"number":10,"year":50,"session":26},"nurse-109-2-maternal-pediatric-001","護理師於婦女產後經由電話協助母親解決哺乳問題，屬於下列何種角色？",109,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-110-2-maternal-pediatric-045","小莉，3 歲，因被熱湯潑及，處於燒燙傷急救期（emergent period），當小莉在低血量休克狀態下時，下列何者為最有效的止痛劑給予途徑？",45,110,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-111-2-maternal-pediatric-079","有關腦性麻痺（cerebral palsy）兒童常見的健康問題，下列敘述何者較不適當？",79,111,"2026-09-04",1788510703358]