[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-108-2-產兒科護理學-007","nurse-108-2-maternal-pediatric-007",108,2,7,"吳女士，育有一子，目前懷孕 10 週，她曾自然流產一次，也曾因懷孕 24 週胎死腹中而引產。其生產紀錄史，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"G 4 P 3 AA 1","G 3 P 3 SA 1","G 4 P 2 SA 1","G 3 P 2 SA 1","C",null,[],"本題考點是產科生產史（GPA）的計算。依 G（總懷孕次）、P（生產次，指達可存活週數之分娩）、A／SA（流產）的定義：吳女士本次懷孕、育有一子（一次足月產）、一次自然流產、一次孕 24 週胎死腹中引產，總懷孕次＝目前這胎＋一子＋自然流產＋24 週引產＝G4。生產次 P 計達可存活週數的分娩，24 週已達存活門檻列為一次生產，加上先前一子，共 P2。自然流產 SA1。故為 G4 P2 SA1，選 C。A 錯在 P3 且用 AA（人工流產）標示。B 錯在 G 少算一次且 P3。D 錯在總懷孕次少計一次（G3）。","GPAL 系統：G＝gravida 總懷孕次（含本次、流產、子宮外孕皆計）；P＝para 達 20（或依定義 24）週以上之分娩次數（不論死活、單雙胎皆以次數計）；A＝abortion（SA 自然、AA／TA 人工／治療性）。關鍵陷阱：孕 24 週胎死腹中引產已達可存活週數門檻，計入 P 而非 A。更細的 TPAL＝足月、早產、流產、現存活嬰兒數。記憶：『流掉的算 G 不算 P，過了存活週數才進 P』。",[24,27,29,31],{"term":25,"count":26},"產科生產史 GPA",1,{"term":28,"count":26},"gravida 懷孕次",{"term":30,"count":26},"para 生產次",{"term":32,"count":26},"可存活週數",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-008","下列何種方式是依據懷孕婦女子宮底高度位置推估預產期？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-maternal-pediatric-024","胎盤娩出後，腦下垂體前葉分泌何者使乳房開始分泌乳汁？",24,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-maternal-pediatric-038","陳女士 G 4 P 3 ，有急產之經驗，目前子宮頸開 7 公分，主訴一直有便意感，下列敘述何者錯誤？",38,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-maternal-pediatric-076","張小弟，10 歲，診斷為腎病症候群（nephrotic syndrome），目前服用 Prednisolone 治療，下列護理指導何者最適當？",76,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-maternal-pediatric-040","李女士 40 歲，因子宮内膜癌進行全子宮和雙側輸卵管卵巢切除術，出院前的護理指導，下列何者正確？①第 1 年每 6 個月回診一次 ②不可抬過重的物品 ③告知可能的更年期症狀 ④術後半年避免性行為",40,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-maternal-pediatric-024","有關逆行性射精之敘述，下列何者錯誤？",113,"2026-09-04",1788510706914]