[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-1-產兒科護理學-032","nurse-107-1-maternal-pediatric-032",107,1,32,"楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",{"A":14,"B":15,"C":16,"D":17},"脅迫性流產（Imminent abortion）","先兆性流產（Threatened abortion）","不完全流產（Incomplete abortion）","敗血性流產（Septic abortion）","B",null,[],"本題考點在早期妊娠出血的流產分類。依流產診斷準則，先兆性流產（threatened abortion）指妊娠早期出現少量陰道出血、可伴輕微腹痛，但子宮頸口尚未擴張、妊娠產物未排出，胎兒仍可能保住；本例 8 週點狀出血、微痛、子宮頸口未擴張，完全符合，故選 B。A 脅迫性（imminent\u002Finevitable）流產指子宮頸已擴張、流產難以避免，與『頸口未開』不符。C 不完全流產指部分妊娠產物已排出、部分殘留且頸口多已開，本例無排出物且頸口未開故不符。D 敗血性流產指合併感染（發燒、惡臭分泌物等），本例無感染徵象，不符。","早期流產分類鑑別關鍵在『子宮頸口是否擴張、妊娠產物是否排出、有無感染』：先兆性（頸口閉、少量出血，可安胎觀察）→脅迫\u002F難免性（頸口開、無法保住）→不完全（部分排出、頸口開，需清宮）→完全（全部排出、頸口漸閉）→過期\u002F稽留（胚胎已死但滯留、頸口閉）→敗血性（合併感染）。先兆性流產處置以休息觀察、避免劇烈活動與性行為、追蹤超音波與 hCG 為主。記憶：頸口未開＋少量出血＝先兆性。可連結概念：流產分類、子宮頸擴張判別、先兆性流產處置、hCG 追蹤。",[24,27,29,31],{"term":25,"count":26},"先兆性流產",2,{"term":28,"count":10},"流產分類",{"term":30,"count":10},"子宮頸口擴張",{"term":32,"count":10},"早期妊娠出血",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-033","何女士，妊娠 29 週，突然感到腹部劇烈疼痛，檢查結果為 TPR：36.6℃，90 次\u002F分，16 次\u002F分， BP：140\u002F90 mmHg，胎心音難測得，子宮硬且有壓痛，宮縮 60～80 mmHg，無陰道出血或羊水流出。根據何女士的臨床狀況，其可能有下列何項問題？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-maternal-pediatric-049","婷婷，9 個月大，體重 9 公斤，母親主訴最近一天解水便數次，現體重為 8 公斤，此屬於下列何種情況？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-063","有關新生兒罹患先天性梅毒的敘述，下列何者錯誤？",63,108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-maternal-pediatric-021","王女士剖腹產後第一天，主訴腹部疼痛。評估美容膠覆蓋之傷口無滲液，腹部叩診鼓音，子宮收縮良好，惡露色紅量少無異味，下列何項護理措施最優先？",21,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-2-maternal-pediatric-065","小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",65,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-019","丁女士，使用催產素引產，以每小時 9 c.c.靜脈滴注，胎兒監視器顯示變異性減速，此時最優先之處置為何？",19,112,"2026-09-04",1788510703563]