[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-011":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":26},"nurse-108-1-產兒科護理學-011","nurse-108-1-maternal-pediatric-011",108,1,11,"丁女士使用催產素催生，胎兒監視器顯示胎心音早期減速，此時最合宜之措施為何？",{"A":14,"B":15,"C":16,"D":17},"立即停止催產素","密切觀察，不需特殊處理","馬上給予氧氣","即刻準備剖腹產","B",null,[],"本題考點為胎心音減速型態的判讀與處置。早期減速（early deceleration）與子宮收縮同步發生、波型對稱，肇因於胎頭受壓引發迷走神經反射，屬良性生理現象，不代表胎兒缺氧，故最合宜的措施是密切觀察、不需特殊處理，選 B。選項 A 立即停止催產素適用於出現晚期減速或子宮過度刺激時，早期減速並非停藥指標。選項 C 馬上給氧適用於疑似胎兒缺氧的晚期或變異性減速，早期減速無此需要。選項 D 準備剖腹產屬持續胎兒窘迫、無法矯正時的決策，與良性的早期減速不相稱。故辨識為早期減速即知只需觀察。","三種減速鑑別（記憶用 VEAL CHOP）：Variable→Cord compression（臍帶受壓）、Early→Head compression（胎頭受壓）、Accelerations→OK、Late→Placental insufficiency（胎盤功能不良）。早期減速最低點對齊收縮波峰、對稱且良性；晚期減速落後於收縮波峰，反映子宮胎盤灌流不足，需積極介入（改左側臥、給氧、停催產素）。記憶重點：Early＝Head＝觀察即可；Late＝Placenta＝危險要處理。連結概念：VEAL CHOP、晚期減速、胎頭受壓迷走反射。",[24,27,29,31],{"term":25,"count":26},"早期減速",2,{"term":28,"count":10},"胎頭受壓迷走反射",{"term":30,"count":10},"VEAL CHOP",{"term":32,"count":10},"與晚期減速鑑別",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-012","江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",12,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-maternal-pediatric-028","護理師執行產後新生兒立即性護理時，發現劉小弟頭頂部有一局部軟組織腫脹，觸診組織鬆軟且外緣界線不清楚，下列敘述何者正確？",28,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-042","依據丹佛 II 嬰幼兒發展篩檢測驗（DDST-II）評估來健兒門診的王小妹，她能自己扣鈕釦、用手指夾葡萄乾、單腳站立 5 秒鐘，王小妹大約是幾歲？",42,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-maternal-pediatric-080","有關兒童腦性麻痺的型態及表徵，下列敘述何者不適當？",80,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-maternal-pediatric-044","小奇，2 個月大，在吃奶時，突然沒有呼吸、心跳，且嘴唇發紫，保母立即施以心肺復甦術，下列步驟何者錯誤？",44,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-maternal-pediatric-078","兒童罹患雷氏症候群（Reye’s Syndrome）常會有複雜性合併症產生，有關其病因和症狀，下列敘述何者正確？",78,112,"2026-09-04",1788510710313]