[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-2-產兒科護理學-017","nurse-107-2-maternal-pediatric-017",107,2,17,"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？",{"A":14,"B":15,"C":16,"D":17},"主訴先生在外島工作，一直哭泣","宮縮時胎心率為 110～120 bpm","破水 2 小時內，無規則性宮縮","宮縮間歇時的壓力為 50 mmHg","D",null,[],"本題考點在待產監測異常值的辨識。子宮在宮縮「間歇期」的靜止張力（resting tone）正常約 5～15 mmHg，題幹 D 稱間歇時壓力達 50 mmHg，代表子宮張力過高、無法充分放鬆，將影響胎盤灌流造成胎兒缺氧，須立即通知醫師，故選 D。A 因先生在外島而哭泣屬情緒需求，予以支持即可，非緊急。B 胎心率 110～120 bpm 仍在正常範圍（110～160 bpm）。C 破水 2 小時內尚無規則宮縮屬可觀察範圍，未達立即通報程度，故選 D。","子宮活動度用內部壓力導管監測時，須分兩個數字：宮縮高峰的收縮壓（活動期約 50～75 mmHg）與間歇期的靜止張力（正常 5～15 mmHg，> 20 即偏高）。靜止張力過高代表子宮過度收縮（hypertonus），常見於催產素過量或胎盤早期剝離，會壓迫子宮血流導致胎兒窘迫。連結概念：子宮靜止張力、宮縮壓力、子宮過度收縮、胎兒窘迫。",[24,27,30,32],{"term":25,"count":26},"胎兒窘迫",6,{"term":28,"count":29},"子宮靜止張力",1,{"term":31,"count":29},"宮縮間歇壓力正常值",{"term":33,"count":29},"子宮過度收縮",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-018","王女士第一胎，目前子宮頸開 6 公分，當宮縮時，閉眼睛不理人，下列何種護理措施較不適當？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-034","有關高危險妊娠的敘述，下列何者正確？",34,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-048","有關胰島素注射的敘述，下列何者錯誤？",48,{"webId":49,"stem":50,"number":26,"year":51,"session":29},"nurse-110-1-maternal-pediatric-006","懷孕 32 週婦女接受無壓力性試驗（Nonstress Test; NST）20 分鐘後，未發現胎兒有活動訊號，下列措施何者最適當？",110,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-111-1-maternal-pediatric-050","有關對於兒童疼痛控制的敘述，下列何者正確？",50,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-004","有關懷孕期的營養指導，下列何者最適當？",4,112,"2026-09-04",1788510725788]