[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-015","nurse-107-1-maternal-pediatric-015",107,1,15,"下列何者是子宮頸擴張最快的時期？",{"A":14,"B":15,"C":16,"D":17},"減速期","潛伏期","過渡期","最大斜率期","D",null,[],"本題考點在第一產程 Friedman 產程曲線各期的子宮頸擴張速率。依 Friedman 曲線，活動期分加速期、最大斜率期與減速期；其中最大斜率期子宮頸擴張最迅速，是評估產程進展的核心時段，故選 D。A 減速期指子宮頸接近全開時擴張反而趨緩、以利胎頭下降，速率並非最快。B 潛伏期為規則宮縮到約開 3–4 cm，以變薄為主、擴張緩慢。C 過渡期宮縮最強、產婦最不適，但就『擴張速率』而言最大斜率期才最快。","Friedman 產程曲線分期：潛伏期（0→約3–4 cm，緩）→活動期〔加速期→最大斜率期（陡，斜率最大）→減速期（趨緩）〕→第二產程。最大斜率期斜率最陡即單位時間開得最多，故稱『擴張最快』。臨床用產程圖（partogram）監測，若活動期擴張明顯落後警戒線提示產程遲滯需評估 3P（Power 產力、Passage 產道、Passenger 胎兒）。記憶：潛伏期看『變薄』、活動期看『擴張』、最大斜率期＝速率巔峰、減速期＝為胎頭下降踩煞車。可連結概念：Friedman 曲線、產程圖、產程遲滯 3P。",[24,27,29,30],{"term":25,"count":26},"第一產程分期",4,{"term":28,"count":10},"Friedman 產程曲線",{"term":17,"count":10},{"term":31,"count":10},"子宮頸擴張速率",[33,37,42,47,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-016","有關產婦第二產程之護理措施，下列何者正確？",16,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-032","有關硫酸鎂（MgSO 4 ）在安胎使用的敘述，下列何者錯誤？",32,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-046","兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",46,108,{"webId":48,"stem":49,"number":26,"year":50,"session":41},"nurse-109-2-maternal-pediatric-004","懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",109,{"webId":52,"stem":53,"number":54,"year":55,"session":41},"nurse-110-2-maternal-pediatric-048","有關為 4 歲的兒童進行身體檢查評估時，下列敘述何者最適當？",48,110,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-112-1-maternal-pediatric-002","下列何種情況之孕婦最需要協助轉介遺傳諮詢？",112,"2026-09-04",1788510703385]