[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-015":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-015","nurse-108-1-maternal-pediatric-015",108,1,15,"王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"自 ROA 旋轉 45 度至 OA","自 ROA 旋轉 135 度至 OA","自 ROP 旋轉 45 度至 OA","自 ROP 旋轉 135 度至 OA","A",null,[],"本題考點為胎頭內迴轉的旋轉方向與角度。王女士為右枕前位（ROA），內迴轉的目的是讓枕部轉向恥骨聯合下方成為枕前位（OA）以利娩出；由 ROA 到 OA 只需向前旋轉約 45 度，故選 A。選項 B 由 ROA 轉 135 度錯誤，角度過大，那是枕後位需長距離旋轉的情況。選項 C、D 起始位置寫成 ROP（右枕後位）與題幹 ROA 不符，題目明確為右枕前位，故起點應是 ROA 而非 ROP。內迴轉本質是把胎頭矢狀縫從骨盆斜徑轉到前後徑，右枕前只差 45 度即到位。","內迴轉（internal rotation）是分娩機轉的一環，胎頭下降至骨盆底時受骨盆底肌肉導引，將枕部轉向前方恥骨弓。旋轉幅度取決於起始胎位：枕前位（OA 側）只需約 45 度；枕橫位需約 90 度；枕後位（OP）需約 135 度才轉到 OA，故枕後位產程常較久、背痛明顯。分娩機轉七步驟口訣：銜接、下降、俯屈、內迴轉、伸展、外迴轉（復位）、娩出。記憶重點：離 OA 越遠、要轉越多度。連結概念：分娩機轉、枕後位、骨盆底導引。",[24,27,29,31],{"term":25,"count":26},"分娩機轉",4,{"term":28,"count":10},"內迴轉",{"term":30,"count":10},"右枕前位ROA",{"term":32,"count":10},"旋轉45度至OA",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-016","有關剖腹產的敘述，下列何項錯誤？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-maternal-pediatric-032","承上題，護理師的處置下列何者不適當？",32,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-maternal-pediatric-046","下列何者不是瀕死兒童的生理變化？",46,109,{"webId":49,"stem":50,"number":26,"year":51,"session":42},"nurse-110-2-maternal-pediatric-004","懷孕期間由於生理機能改變，使得藥物在孕婦體內的吸收、分布、代謝與排泄均有改變，下列敘述何者正確？",110,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-111-2-maternal-pediatric-048","有關執行兒童生命徵象的測量，下列敘述何者錯誤？",48,111,{"webId":58,"stem":59,"number":42,"year":60,"session":61},"nurse-112-3-maternal-pediatric-002","有關拉梅茲倡議的生產措施，下列敘述何者正確？",112,3,"2026-09-04",1788510710347]