[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-034":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-034","nurse-108-2-maternal-pediatric-034",108,2,34,"下列何者不是用來判斷孕婦是否破水的方法？",{"A":14,"B":15,"C":16,"D":17},"黏液塞排出","陰道窺鏡檢查","石蕊試紙試驗","羊齒試驗","A",null,[],"本題考點在於破水(rupture of membranes)的臨床判別方法。依羊水的弱鹼性與結晶特性,可用石蕊\u002F硝嗪試紙(nitrazine test)測pH,羊水偏鹼會使試紙變藍;羊齒試驗(ferning test)將分泌物風乾後在顯微鏡下呈羊齒狀結晶;陰道窺鏡可直視後穹窿積液或見羊水自子宮頸流出,三者皆為判斷破水的依據,故B、C、D均屬正確方法。黏液塞(mucous plug)排出是即將臨產的產兆之一,反映子宮頸變化而非羊膜破裂,與破水無直接關係,故不是判斷方法者為A。","羊水pH約7.0–7.5(鹼性),陰道分泌物pH約4.5–5.5(酸性),故nitrazine變藍提示破水,但精液、血液、細菌性陰道炎會偽陽性。Ferning源於羊水中氯化鈉與雌激素結晶。黏液塞(見紅前的黏稠塞子)屬產兆,與破水機轉不同,是本題最佳干擾選項。",[24,27,29,31,33],{"term":25,"count":26},"破水判別",1,{"term":28,"count":26},"硝嗪試紙nitrazine",{"term":30,"count":26},"羊齒試驗ferning",{"term":32,"count":26},"黏液塞產兆",{"term":34,"count":26},"羊水pH",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-035","子宮頸於產後多久可以恢復到幾乎完全閉合，且變得較厚？",35,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-051","下列何者是幼兒泌尿道感染常見的致病菌？",51,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-065","有關胎血循環的敘述，下列何者錯誤？",65,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-maternal-pediatric-023","有關使用荷爾蒙藥物或避孕器的敘述，下列何者正確？",23,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-1-maternal-pediatric-067","小美，17 歲女性，為 A 型血友病帶因者，到院做遺傳諮詢，下列敘述何者最適當？",67,112,{"webId":60,"stem":61,"number":26,"year":62,"session":10},"nurse-113-2-maternal-pediatric-001","有關以家庭為中心的產科護理模式之敘述，下列何者錯誤？",113,"2026-09-04",1788510707132]