[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-017","nurse-108-1-maternal-pediatric-017",108,1,17,"有關待產與生產時姿勢的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"待產過程中應允許婦女自由活動或變換姿勢","生產時採膀胱截石臥位姿勢，婦女較能有效用力及減少疲勞","生產時採背部直立姿勢有利於胎兒下降","生產時採背部直立姿勢可減少下腔靜脈壓迫，較少發生胎心音異常","B",null,[],"本題考點為待產與生產姿勢的優劣，題目要選「錯誤」者。膀胱截石臥位（仰臥屈膝上腳架）雖便於接生操作，卻使產婦需逆重力用力、壓迫下腔靜脈、增加疲勞，並非「較能有效用力及減少疲勞」，故選 B 為錯誤。選項 A 正確，待產應允許自由活動與變換姿勢以促進產程。選項 C 正確，直立姿勢可藉重力幫助胎兒下降。選項 D 正確，直立或側臥能避免仰臥壓迫下腔靜脈，維持子宮胎盤灌流、減少胎心音異常。故將截石臥位說成最省力有效者不成立。","仰臥（含截石臥位）會使沉重的子宮壓迫下腔靜脈與腹主動脈，造成仰臥低血壓症候群並降低胎盤灌流，也讓產婦逆重力用力較費力。直立、蹲、跪、側臥等姿勢利用重力助胎頭下降、擴大骨盆出口徑並改善灌流。截石臥位的存在主要是為醫療操作方便，非以產婦生理最佳化為出發。記憶重點：仰臥壓大靜脈、直立借地心引力；姿勢自由才順產。連結概念：仰臥低血壓症候群、下腔靜脈壓迫、骨盆徑線。",[24,27,30,32],{"term":25,"count":26},"仰臥低血壓症候群",5,{"term":28,"count":29},"生產姿勢",3,{"term":31,"count":10},"膀胱截石臥位缺點",{"term":33,"count":10},"直立姿勢助下降",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-018","陳女士陰道檢查結果子宮頸擴張 9 公分，變薄程度 80%，高度+2，此時胎頭最有可能在下列那個位置？",18,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-maternal-pediatric-034","下列何者不是用來判斷孕婦是否破水的方法？",34,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-maternal-pediatric-048","有關兒童氣喘（Asthma）的敘述，下列何者正確？",48,109,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-110-2-maternal-pediatric-006","有關妊娠期會陰按摩，下列敘述何者正確？",6,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,111,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-112-3-maternal-pediatric-004","王女士主訴：「我懷孕後都不吃冰了，因擔心對孩子氣管不好」，下列護理師反應何者最適當？",4,112,"2026-09-04",1788510710362]