[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-107-2-產兒科護理學-012","nurse-107-2-maternal-pediatric-012",107,2,12,"子宮生理性收縮環在肌肉上的變化為何？",{"A":14,"B":15,"C":16,"D":17},"子宮上段變薄，下段變厚","子宮上段變薄，下段沒有變化","子宮上段變厚，下段變薄","子宮上段沒變化，下段變薄","C",null,[],"本題考點在子宮生理性收縮環的肌肉變化。分娩時子宮上段（主動段）持續收縮回縮，肌纖維愈縮愈短而變厚；下段（被動段）與子宮頸則被牽拉延展而變薄，兩段交界形成生理性收縮環，故選 C（上段變厚、下段變薄）。A、B 稱上段變薄與生理收縮的方向相反。D 稱上段沒變化亦不符主動段持續回縮的特性。本題要辨識子宮「上厚下薄」的分工，才能與病理性收縮環（Bandl 環，難產警訊）作對比，故選 C。","子宮上下段的分工是分娩力學核心：上段主動收縮回縮（retraction，肌纖維永久縮短、推胎兒下降），下段被動延展（讓出通道）。生理性收縮環是正常界線；若產程受阻、下段被過度拉薄，收縮環會上移變高變緊成為病理性 Bandl 環，代表子宮破裂前兆，須警覺。連結概念：主動段與被動段、回縮作用、Bandl 環、子宮破裂。",[24,27,29,31],{"term":25,"count":26},"子宮生理性收縮環",1,{"term":28,"count":26},"上段回縮變厚",{"term":30,"count":26},"下段延展變薄",{"term":32,"count":26},"Bandl 環對比",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-013","王女士 G 2 P 1 ，在待產活動期時接受腰椎硬膜外麻醉，護理師發現王女士的血壓突然降低，下列護理措施何者最不適宜？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-029","有關新生兒皮膚之敘述，下列何者錯誤？",29,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-043","依據常見的嬰幼兒發展現象，一般嬰幼兒乳齒的生長順序，下列何者正確？①上排中央門牙 ②下排中央門牙 ③犬齒 ④第一臼齒 ⑤第二臼齒",43,{"webId":48,"stem":49,"number":26,"year":50,"session":26},"nurse-110-1-maternal-pediatric-001","有關以家庭為中心的照護，下列敘述何者正確？",110,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-111-1-maternal-pediatric-045","林小弟，1 個月大，剛確診膽道閉鎖，父母正為是否接受手術猶豫不決。根據以家庭為中心的兒科護理特色，下列何者最適當？",45,111,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-112-1-maternal-pediatric-079","有關早產兒腦室內出血，下列護理處置之敘述，何者最適當？",79,112,"2026-09-04",1788510725734]