[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-107-1-產兒科護理學-014","nurse-107-1-maternal-pediatric-014",107,1,14,"下列何者為宮縮時胎心率加速之臨床意義？",{"A":14,"B":15,"C":16,"D":17},"正常現象","胎頭受壓迫","胎盤功能不良","臍帶受壓迫","A",null,[],"本題考點在胎心率（FHR）加速的臨床判讀。依胎兒監測判讀準則，加速指 FHR 短暫上升、常伴隨胎動或宮縮出現，代表胎兒自主神經與中樞調節良好、氧合充足，是胎兒安好的正常表現，故選 A。B 胎頭受壓對應的是早期減速（與宮縮同步的下降），非加速。C 胎盤功能不良對應晚期減速（減速谷落後於宮縮波峰、灌流不足），非加速。D 臍帶受壓對應變異性減速（與宮縮無固定關係），非加速。三個錯項皆把『減速』的成因套到『加速』上，方向相反。","口訣 VEAL CHOP 對照胎心圖形與成因：Variable→Cord compression（臍帶受壓）、Early→Head compression（胎頭受壓）、Acceleration→OK\u002Fwell-oxygenated（胎兒安好）、Late→Placental insufficiency（胎盤功能不良）。加速判讀標準：≥32 週胎兒需 FHR 上升 ≥15 bpm、持續 ≥15 秒；\u003C32 週放寬為 ≥10 bpm、≥10 秒。加速存在是胎兒健康的正向指標，也是無壓力試驗（NST）判為 reactive 的依據。可連結概念：胎兒監測 VEAL CHOP、無壓力試驗、胎兒氧合。",[24,27,30,33],{"term":25,"count":26},"胎心率加速",5,{"term":28,"count":29},"VEAL CHOP 口訣",4,{"term":31,"count":32},"胎兒監測判讀",2,{"term":34,"count":32},"無壓力試驗",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-maternal-pediatric-015","下列何者是子宮頸擴張最快的時期？",15,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-107-2-maternal-pediatric-031","有關子宮外孕之敘述，下列何者錯誤？",31,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-maternal-pediatric-045","有關川崎氏症（Kawasaki Disease）的敘述，下列何者錯誤？",45,108,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-2-maternal-pediatric-003","鄭女士因月經過期 8 週而至門診驗孕，她已有一對雙胞胎子女，曾於懷孕 8 週時胚胎因無胎心音而入院接受中止妊娠術，此次門診確認鄭女士已懷孕，因此其孕產史紀錄，下列何項正確？",3,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-2-maternal-pediatric-047","有關兒童虐待的敘述，下列何者錯誤？",47,110,{"webId":60,"stem":61,"number":10,"year":62,"session":10},"nurse-112-1-maternal-pediatric-001","有關分娩期的支持性照護措施，下列何者較不適當？",112,"2026-09-04",1788510703366]