[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-016","nurse-108-2-maternal-pediatric-016",108,2,16,"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？",{"A":14,"B":15,"C":16,"D":17},"溫和觸壓按摩會陰","鼓勵產婦溫和向下用力推進","配合產婦用力衝動向下推擠","平躺使用腳凳盡力伸展腿部","D",null,[],"本題考點是第二產程「保護會陰、避免會陰切開」的護理措施，屬找錯誤題。依維護會陰完整性的原則，正確做法包括溫和觸壓按摩會陰、鼓勵產婦溫和向下用力、配合其自然用力衝動推進，並宜採半坐臥或直立姿以順應重力。D「平躺使用腳凳盡力伸展腿部」使用截石臥位並過度伸展會拉緊、繃緊會陰，反而增加撕裂與需切開的風險，與保護會陰目標相反，故 D 為錯誤、即為答案。A 溫和按摩可增加會陰延展性，正確。B、C 鼓勵溫和且順應衝動用力，可避免暴衝式用力造成裂傷，皆正確。","保護會陰策略：熱敷與會陰按摩增加延展性、控制胎頭娩出速度（緩慢著冠）、鼓勵『順應性用力（spontaneous pushing）』而非長時間閉氣的 Valsalva 猛推、採側躺或直立等減少會陰張力的姿勢。截石臥位＋雙腿高抬伸展會使會陰繃緊、增加裂傷，故不利。記憶：『護會陰要熱敷、慢娩、順著用力、別把腿撐到最緊』。延伸：過度 Valsalva 用力也會使胎兒短暫缺氧與母體會陰高張。",[24,27,30,33],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"會陰保護",3,{"term":31,"count":32},"會陰切開術",1,{"term":34,"count":32},"順應性用力",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-017","有關基礎體溫的敘述，下列何者正確？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-maternal-pediatric-033","丁女士在產後 10 天惡露量突然變多且呈紅色，到門診產後檢查後確立為子宮復舊不全，造成子宮復舊不全的主要原因為何？",33,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-047","小宏足月生產，出生體重 3 公斤，目前 3 歲，下列敘述何者較不符合此年齡層的生長發展？",47,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-maternal-pediatric-005","蔡女士，懷孕第 13 週，主訴上週出國到茲卡病毒疫區，她擔心胎兒會受到影響，護理師的回應，下列何者適當？",5,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-maternal-pediatric-049","強強，3 歲，因車禍住加護病房，剛住院時一直哭泣，對著護理師不斷地哭著說：「走開，我要媽媽……我要媽媽……」。根據兒童早期分離焦慮之反應屬於以下那一個階段？",49,112,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-113-1-maternal-pediatric-033","有關早產兒發展性照護的敘述，下列何者正確？",113,"2026-09-04",1788510706997]