[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-019":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":10},"nurse-107-2-產兒科護理學-019","nurse-107-2-maternal-pediatric-019",107,2,19,"當待產婦使用 PGE 2 陰道栓劑後，護理師需要監測下列何種變化？",{"A":14,"B":15,"C":16,"D":17},"子宮頸平滑肌收縮","胎兒肺部成熟","子宮頸軟化成熟","子宮頸水腫","C",null,[],"本題考點在前列腺素 E2（PGE2）陰道栓劑的作用與監測。PGE2（dinoprostone）用於引產前的子宮頸成熟，作用是軟化、擴張、消失子宮頸使其成熟以利催生，故用藥後護理師應監測子宮頸軟化成熟的程度，選 C。A 子宮頸為平滑肌，PGE2 主要促成的是子宮頸「軟化」而非收縮，方向相反。B 胎兒肺部成熟由類固醇（如 betamethasone）促進，與 PGE2 無關。D 子宮頸水腫並非 PGE2 的預期藥理作用或主要監測指標。本題要辨識 PGE2「催熟子宮頸」的用途，故選 C。","引產前若子宮頸尚未成熟（Bishop 分數低），會先用前列腺素製劑（PGE2 dinoprostone、PGE1 misoprostol）促進子宮頸成熟，再視情況接催產素引產。用藥須監測是否出現子宮過度刺激（tachysystole）與胎心率變化，必要時取出栓劑。連結概念：Bishop 分數、子宮頸成熟、前列腺素、催產素引產、子宮過度刺激。",[24,26,29,31],{"term":25,"count":10},"引產",{"term":27,"count":28},"前列腺素 E2 栓劑",1,{"term":30,"count":28},"子宮頸成熟",{"term":32,"count":28},"Bishop 分數",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-020","張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-050","兒童接受排空性膀胱尿道攝影（voiding cystouretheography）的主要目的是：",50,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-110-1-maternal-pediatric-008","有關雷奧波德式操作法（Leopold’s maneuvers）之敘述，下列何者正確？",8,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-maternal-pediatric-052","有關病童約束的原則，下列何者錯誤？",52,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-006","葉女士，懷孕 33 週，在正常體重增加與胎兒發展的情況下，逐漸膨大的子宮會使她姿勢發生下列何種改變？",6,112,"2026-09-04",1788510725813]