[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-012","nurse-109-1-maternal-pediatric-012",109,1,12,"第二產程胎頭娩出時，為了減少會陰部撕裂傷，下列措施何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"請產婦哈氣","請產婦採喘息呼吸","讓產婦採側躺","將產婦臀部墊高","D",null,[],"本題考點在於第二產程保護會陰、減少撕裂傷的措施辨識，屬「找較不適當」題。胎頭娩出時應設法減緩娩出速度、讓會陰漸進擴張以降低撕裂，而將產婦臀部墊高會改變產道角度並可能增加會陰張力、不利於控制胎頭緩出，故 D 較不適當、即答案。A 請產婦哈氣可抑制用力衝動、放慢胎頭娩出，屬正確措施。B 喘息呼吸（喘氣）同樣避免猛力屏氣、減緩娩出速度，屬正確措施。C 採側躺姿勢有助放鬆會陰、減少會陰張力與撕裂，屬正確措施。核心在辨識控制娩出速度為保護會陰主軸，而臀部墊高與此目的相違。","會陰保護原則：胎頭著冠時以哈氣、喘息取代閉氣用力，控制胎頭「慢慢滑出」，配合會陰支托與熱敷、必要時會陰切開。側躺姿勢可降低會陰壓力並改善血流。臀部墊高多用於臍帶脫垂或改善胎盤灌流，不利會陰保護。記憶：「保護會陰＝放慢速度、放鬆會陰」，與加壓、墊高背道而馳。",[24,27,30,32,34],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"會陰保護",3,{"term":31,"count":10},"哈氣與喘息呼吸",{"term":33,"count":10},"會陰撕裂傷",{"term":35,"count":10},"分娩姿勢",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-013","下列何者是產婦待產時的危險徵象？",13,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-109-2-maternal-pediatric-029","有關神經系統反射的敘述，下列何者正確？①擁抱反射（moro reflex）是將新生兒突然改變姿勢後，四肢對稱性外展且伸直 ②尋乳反射（rooting reflex）是觸碰新生兒嘴角時出現舌頭伸出的現象，表示新生兒飢餓，應該餵食 ③巴賓斯基反射（Babinski reflex）是以手指自新生兒腳跟沿外側朝趾方向刺激，新生兒腳趾會內縮 ④頸部強直反射（tonic neck reflex）是新生兒平躺時，將頭轉向一側，轉向的那一側手腳會伸展，對側會屈曲狀",29,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-maternal-pediatric-043","有關燒傷病童休克期最初 24 小時的處置措施，下列敘述何者最適當？",43,110,{"webId":52,"stem":53,"number":10,"year":54,"session":45},"nurse-111-2-maternal-pediatric-001","有關懷孕期正常內分泌變化的敘述，下列何者正確？",111,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-112-2-maternal-pediatric-045","有關兒童血壓測量，下列敘述何者正確？",45,112,{"webId":61,"stem":62,"number":26,"year":63,"session":29},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",113,"2026-09-04",1788510713143]