[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-015","nurse-108-2-maternal-pediatric-015",108,2,15,"有關分娩時經產婦的子宮頸變化之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"子宮頸變薄與擴張同時進行","子宮頸先擴張，再變薄","子宮頸先變薄，再擴張","潛伏期時，子宮頸變薄變短程度為 90～100%","A",null,[],"本題考點是經產婦（multipara）子宮頸變薄（effacement）與擴張（dilation）的時序。依產程生理，初產婦通常先變薄再擴張（先 effacement 後 dilation），而經產婦因子宮頸曾經歷分娩、組織較鬆，變薄與擴張多同時併行，故選 A。B「先擴張再變薄」順序顛倒，不符任何族群的典型模式。C「先變薄再擴張」是初產婦的模式，非經產婦。D「潛伏期子宮頸變薄 90～100%」數值錯誤，90～100% 變薄多見於接近完全變薄（活動期後段至過渡期），潛伏期通常尚未達此程度。","Effacement（變薄，以 % 表示，子宮頸管由厚變薄如紙）與 dilation（擴張，以 cm 表示，0～10）。初產婦：先變薄後擴張（先把子宮頸『拉薄』再『撐開』）；經產婦：兩者同步進行，故產程常較快。記憶對比：『初產先薄後開、經產薄開同行』。臨床意義：經產婦產程進展快，需提早準備接生，避免急產。",[24,27,30,32],{"term":25,"count":26},"經產婦",4,{"term":28,"count":29},"子宮頸變薄 effacement",1,{"term":31,"count":29},"子宮頸擴張 dilation",{"term":33,"count":29},"初產婦產程差異",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-maternal-pediatric-016","吳女士 G 2 P 1 ，她希望生產時能免除會陰切開術，以維持會陰的完整性，有關第二產程的護理措施，下列何者錯誤？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-maternal-pediatric-032","孕婦早期破水的評估與處置，下列何者錯誤？",32,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-maternal-pediatric-046","有關嬰幼兒呼吸系統的解剖生理特徵，下列何者正確？",46,{"webId":49,"stem":50,"number":26,"year":51,"session":29},"nurse-111-1-maternal-pediatric-004","有關測量胎心音的敘述，下列何者最正確？",111,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-112-1-maternal-pediatric-048","有關新生兒篩檢的敘述，下列何者錯誤？",48,112,{"webId":58,"stem":59,"number":42,"year":60,"session":29},"nurse-113-1-maternal-pediatric-032","小亮，出生後診斷為腭裂（cleft palate），1歲時入院行腭裂修補術，有關術後約束之護理措施，下列敘述何者正確？",113,"2026-09-04",1788510706980]