[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-107-2-產兒科護理學-016","nurse-107-2-maternal-pediatric-016",107,2,16,"自然產的胎頭娩出後將進入下列何項分娩機轉？",{"A":14,"B":15,"C":16,"D":17},"下降（decent）","外迴轉（external rotation）","屈曲（flexion）","伸展（extension）","B",null,[],"本題考點在分娩機轉（cardinal movements）的先後順序。胎頭以伸展（extension）方式娩出後，接續進行外迴轉（external rotation，又稱復位後外轉），使已娩出的胎頭轉正、讓肩膀對準骨盆出口前後徑以利娩肩，故選 B。A 下降（descent）發生於胎頭娩出之前，貫穿整個產程。C 屈曲（flexion）使胎頭以最小徑通過，在內迴轉前完成，早於娩出。D 伸展（extension）正是胎頭娩出當下的動作，其後才接外迴轉。本題要辨識娩頭「之後」的下一步是外迴轉，故選 B。","分娩機轉七步可用口訣串記：銜接（engagement）→ 下降（descent）→ 屈曲（flexion）→ 內迴轉（internal rotation）→ 伸展（extension，娩頭）→ 復位與外迴轉（restitution & external rotation，轉正娩肩）→ 娩出（expulsion）。外迴轉是為了讓雙肩由橫徑轉為前後徑通過出口，臨床上見胎頭娩出後自行轉向母親大腿內側即是此步。連結概念：分娩機轉、內迴轉、復位、娩肩。",[24,27,30,32],{"term":25,"count":26},"分娩機轉",4,{"term":28,"count":29},"外迴轉 external rotation",1,{"term":31,"count":29},"胎頭伸展娩出",{"term":33,"count":29},"cardinal movements 順序",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-017","陳女士 G 2 P 0 獨自來待產，下列何種情況需立即通知醫師？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-033","有關安胎藥物之敘述，下列何者正確？",33,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-047","葳葳，5 歲，剛做完右心導管檢查，返回病房後護理師提供的護理措施，下列何者錯誤？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-005","第三妊娠期孕婦身體姿勢之敘述，下列何項正確？",5,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-049","小苗，5 歲，因小腿蜂窩性組織炎住院接受治療，護理師在進行「兒童疼痛概念」發展之評估時，下列敘述何者最適當？",49,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-003","趙女士至門診確認懷孕 8 週，有孕吐現象，詢問有關孕期熱量攝取，下列何者為最適當的回答？",3,112,"2026-09-04",1788510725783]