[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-107-1-產兒科護理學-029","nurse-107-1-maternal-pediatric-029",107,1,29,"謝女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 8 cm，變薄 80%，高度為+2，已破水。胎兒監測器圖形顯示胎心率下降至 100 bpm，減速的時間與子宮收縮沒一定關係，下列何者為最有可能的情形？",{"A":14,"B":15,"C":16,"D":17},"正常情形","早期減速","晚期減速","變異性減速","D",null,[],"本題考點在依胎心監測圖形特徵判別減速型態。題幹關鍵為『FHR 下降至 100 bpm，減速時間與子宮收縮沒有一定關係』；依判讀準則，與宮縮無固定時序關係、突發突降突回、常呈 V\u002FU\u002FW 形者為變異性減速（variable deceleration），故選 D。A 正常情形不符，已有明顯減速。B 早期減速的谷底與宮縮波峰同步、成鏡像對稱，與宮縮有固定關係，不符『無一定關係』。C 晚期減速的谷底固定落後於宮縮波峰、且與宮縮呈規律時序，也屬有固定關係，故不符。唯變異性減速具『與宮縮無固定關係』的特徵。","三型減速時序辨識：早期減速＝與宮縮同步鏡像（胎頭受壓，多良性）；晚期減速＝落後宮縮、規律出現（子宮胎盤功能不良，令人擔憂）；變異性減速＝與宮縮無固定關係、突降突回呈 V\u002FU\u002FW（臍帶受壓）。本題『沒有一定關係＋驟降到 100』正指向變異性減速。搭配 VEAL CHOP 記憶：Variable→Cord。處置面向：變異性減速常先改變產婦體位以解除臍帶壓迫、給氧、必要時停用催產素並評估。可連結概念：變異性減速、胎心圖形時序、VEAL CHOP、臍帶受壓。",[24,26,29,31],{"term":17,"count":25},6,{"term":27,"count":28},"VEAL CHOP 口訣",4,{"term":30,"count":10},"胎心監測圖形",{"term":32,"count":10},"宮縮時序關係",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-030","承上題，下列何者可能為造成上述情形的原因？",30,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-maternal-pediatric-046","鐮狀細胞貧血（sickle cell anemia）病童不會出現下列何項臨床表徵？",46,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-maternal-pediatric-060","宏宏，8 個月大，因支氣管炎住院接受治療，服用口服藥物的護理指導，下列何者正確？",60,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-maternal-pediatric-018","產婦進入待產過程中，護理師協助陰道內診，無法獲得下列何項資料？",18,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-maternal-pediatric-062","小玲，9 歲，於扁桃腺切除術（tonsillectomy）後，用手指著傷口並抱怨傷口疼痛，下列護理措施何者最適當？",62,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-016","第一產程活動期的待產婦，每 3 分鐘宮縮 1 次，每次持續 45 秒，個案在宮縮的休息期，胎心率為 90 bpm，下列何項護理措施較適當？",16,112,"2026-09-04",1788510703525]