[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-014":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-014","nurse-107-2-maternal-pediatric-014",107,2,14,"楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"疼痛來自於子宮韌帶的伸張，陰道及會陰肌肉的伸展","疼痛位置主要在下腹部及下背部","疼痛來自於子宮體下段伸展及宮縮肌肉細胞缺氧","疼痛的神經衝動由 T 10 ～L 1 傳導進入脊髓","A",null,[],"本題考點在各產程疼痛的來源與神經傳導。子宮頸全開且完全變薄已進入第二產程，此期疼痛主要來自胎兒下降時子宮韌帶被牽張、以及陰道與會陰肌肉的伸展，屬體性疼痛，故 A 敘述正確。B 疼痛集中在下腹與下背屬第一產程子宮頸擴張的內臟痛部位。C 子宮體下段伸展與宮縮肌肉缺氧是第一產程疼痛機轉。D 疼痛經 T10～L1 傳入脊髓是第一產程的神經傳導路徑；第二產程會陰痛則經薦神經 S2～S4 傳導。本題要辨識第二產程「會陰體性痛」的特徵，故選 A。","產痛可依產程分兩型：第一產程為內臟痛（子宮頸擴張、下段延展、肌肉缺氧），經 T10～L1 傳導，定位模糊在下腹下背；第二產程為體性痛（陰道會陰伸展、韌帶牽張），經陰部神經 S2～S4 傳導，定位清楚在會陰。此區分也解釋為何硬膜外需涵蓋 T10～S4 才能同時止住兩期疼痛。連結概念：內臟痛與體性痛、T10～L1、陰部神經 S2～S4、牽扯痛。",[24,27,29,31],{"term":25,"count":26},"產程疼痛來源",1,{"term":28,"count":26},"第二產程體性痛",{"term":30,"count":26},"會陰韌帶牽張",{"term":32,"count":26},"陰部神經 S2-S4",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-015","陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",15,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-031","有關孕期心臟病之敘述，下列何者錯誤？",31,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-045","小明，1 歲，罹患主動脈狹窄症（coarctation of the aorta）而入院，下列何者不是其症狀？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-maternal-pediatric-003","有關妊娠期腸胃系統的變化所造成孕婦不適的現象，下列敘述何項正確？",3,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-maternal-pediatric-047","一般 2 歲兒童的生長發育，下列敘述何者錯誤？",47,111,{"webId":58,"stem":59,"number":26,"year":60,"session":10},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",112,"2026-09-04",1788510725763]