[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-109-1-產兒科護理學-009","nurse-109-1-maternal-pediatric-009",109,1,9,"王女士懷孕 38 週，胎位為左枕前位（LOA），胎心音的測量最合宜的部位為？",{"A":14,"B":15,"C":16,"D":17},"右側臍棘線中點","左側臍棘線中點","肚臍與恥骨連合線上中點","腸骨兩側","B",null,[],"本題考點在於依胎位判斷胎心音最佳聽診部位。胎心音在胎兒背部傳導最清楚，左枕前位（LOA）代表胎背朝向母體左前方、胎頭在下呈頭位，故最佳聽診處為母親左下腹的左側臍棘線中點（臍與髂前上棘連線中點），選 B。A 右側臍棘線中點適用於胎背在右的右枕位（如 ROA），與 LOA 相反，故錯。C 臍與恥骨聯合連線中點偏中央，非 LOA 背部投影位置，故錯。D 腸骨兩側非胎心音傳導最佳處，且未對應特定胎位，故錯。判讀重點在把握「胎背方向決定聽診側」以及頭位聽診處在下腹的原則。","胎心音經胎背傳導最響。判位口訣：先看左右（L\u002FR＝母體左\u002F右）、再看前後（A\u002FP）、頭位聽臍下、臀位聽臍上。LOA→左下腹、ROA→右下腹、LSA（臀位）→左上腹。透過里奧波德氏手法（Leopold's manoeuvres）先確認胎背與先露部，再定位聽診點。記憶：「背在哪，音在哪；頭在下，聽下腹」。",[24,27,30,32,34],{"term":25,"count":26},"胎背傳導",3,{"term":28,"count":29},"胎心音聽診",2,{"term":31,"count":10},"左枕前位 LOA",{"term":33,"count":10},"里奧波德氏手法",{"term":35,"count":10},"臍棘線中點",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-010","有關生產疼痛理論，下列描述何者正確？",10,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-109-2-maternal-pediatric-026","有關產後生殖器官的復舊過程，下列何者正確？",26,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-1-maternal-pediatric-040","有關婦科體外放射治療後產生的腹瀉問題之護理指導，下列何者不適當？",40,110,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-1-maternal-pediatric-078","小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",78,111,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-112-2-maternal-pediatric-042","小澤，8 歲，罹患氣喘，有關促進小澤在學校生活適應，下列敘述何者不適當？",42,112,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-113-3-maternal-pediatric-006","第三孕期婦女抱怨下肢腫脹，傍晚時鞋子就穿不下，下列護理指導何者不適當？",6,113,"2026-09-04",1788510713122]