[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-016":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-016","nurse-107-1-maternal-pediatric-016",107,1,16,"有關產婦第二產程之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"抬高腿部以預防血栓靜脈炎","抬高頭部 10 至 20 度以利向下用力","宮縮間歇期間，提醒產婦放鬆休息","教導產婦使用肩頸及腹部肌肉力量向下用力","C",null,[],"本題考點在第二產程（子宮頸全開到胎兒娩出）的護理措施。依第二產程照護原則，宮縮為陣發性，於宮縮間歇期提醒產婦放鬆休息以保留體力、待下次宮縮再用力，屬正確措施，故選 C。A 錯在第二產程重點是配合宮縮用力娩出胎兒，抬高腿部預防血栓靜脈炎並非此期護理焦點。B 錯在向下用力需採半坐臥、蹲踞或抬高上半身較大角度以善用腹壓與重力，僅抬高頭部 10–20 度角度不足、不利用力。D 錯在正確用力應吸氣後閉氣、收縮腹肌並放鬆骨盆底，教導『使用肩頸肌肉』用力屬錯誤指導，易造成無效用力與疲累。","第二產程用力技巧：宮縮來時深吸氣後閉氣（或開放式吐氣用力），下巴微收、雙手抓握膝後，收縮腹肌配合重力向下用力；宮縮間歇立即放鬆休息、補充水分。體位選擇半坐臥、蹲踞、側臥皆可善用重力。避免過早或持續閉氣用力（可能影響胎盤灌流與母體疲勞）。記憶：第二產程＝『配合宮縮、有縮才用力、無縮就休息』。與第一產程呼吸放鬆止痛重點不同。可連結概念：第二產程、有效用力技巧、宮縮節律。",[24,26,28,30],{"term":25,"count":10},"第二產程護理",{"term":27,"count":10},"用力技巧",{"term":29,"count":10},"宮縮間歇休息",{"term":31,"count":10},"產程體位",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-017","林女士，29 歲，大陸瀋陽人，G 1 P 1 ，先生為臺商，結婚後來臺居住，產後第一天她抱怨沒有奶水無法餵奶，懷孕生產讓自己變胖變醜，先生過兩天後要回大陸工作，必須獨自一人照顧新生兒而顯擔憂。護理師對其產後調適的評估，下列護理問題何者較不恰當？",17,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-033","以比夏計分法（Bishop’s score）評估產婦引產的難易度，下列何者錯誤？",33,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-047","有關缺鐵性貧血病童口服鐵劑的注意事項，下列何者錯誤？",47,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-005","一位孕前 BMI 為 23.1 kg\u002Fm 2 的單胞胎孕婦，有關其孕期體重之護理指導，下列何者最適當？",5,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-049","護理師為了讓 2～6 歲病童認為藥杯內藥物減少，將小藥杯改為較大底面積的藥杯，主要是運用兒童尚未發展何種認知概念？",49,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-003","有關胎兒發育的描述，下列何者正確？",3,112,"2026-09-04",1788510703390]