[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-108-1-產兒科護理學-014","nurse-108-1-maternal-pediatric-014",108,1,14,"胡女士子宮頸口全開，護理師協助產婦躺上產檯並準備生產，下列護理措施何者不合適？",{"A":14,"B":15,"C":16,"D":17},"把手擋在會陰部禁止胎兒娩出","請準父親穿上隔離衣、帽子、口罩在產房陪產","監測胎心率變化","確認預先加熱新生兒處理檯","A",null,[],"本題考點為第二產程接生的護理原則，題目要選「不合適」者。子宮頸全開進入第二產程，護理應協助胎兒安全、控制速度娩出以防會陰撕裂，而非用手強行擋住阻止胎兒娩出；選項 A「把手擋在會陰部禁止胎兒娩出」會造成產傷與危險，是不合適措施，故選 A。選項 B 請準父親著隔離衣帽口罩陪產合適，符合感染控制與家庭支持。選項 C 監測胎心率變化合適，第二產程仍須持續評估胎兒狀況。選項 D 預先加熱新生兒處理檯合適，可預防新生兒出生後低體溫。故唯有阻擋胎兒娩出違反接生安全原則。","第二產程接生重點是「控制而非阻擋」：以會陰支托手法（如 Ritgen manoeuvre）控制胎頭俯屈與娩出速度，讓胎頭緩慢通過以減少會陰裂傷，而不是把胎兒壓回。新生兒出生後易因體表濕潤蒸發而快速失溫，故須預熱處理檯、立即擦乾與保暖（延續體溫調節照護）。記憶重點：接生是「導」不是「堵」；出生先擦乾保暖防失溫。連結概念：會陰支托、新生兒體溫調節、蒸發散熱。",[24,26,28,30],{"term":25,"count":10},"第二產程接生",{"term":27,"count":10},"會陰支托控制娩出",{"term":29,"count":10},"新生兒保暖",{"term":31,"count":10},"禁止阻擋胎兒娩出",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-015","王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",15,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-maternal-pediatric-031","張女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 4 cm，變薄 40%，高度為 0，胎兒監測器顯示如下圖。根據此圖形，下列何者正確？",31,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-045","李小妹，8 歲，因敗血病住進加護病房，很在意父母親是否準時到病房探視，不斷詢問護理師探病時間。李小妹的行為屬於下列何種情況？",45,109,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-110-2-maternal-pediatric-003","有關第二孕期母血唐氏症四指標（quadruple test）之檢測項目，下列何者錯誤？",3,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-maternal-pediatric-047","小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",47,111,{"webId":58,"stem":59,"number":10,"year":60,"session":50},"nurse-112-3-maternal-pediatric-001","有關婦嬰生命統計，下列何者正確？",112,"2026-09-04",1788510710343]