[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-013":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-013","nurse-109-1-maternal-pediatric-013",109,1,13,"下列何者是產婦待產時的危險徵象？",{"A":14,"B":15,"C":16,"D":17},"子宮頸口擴張至 4 公分破水","現血增加","臍繞頸一圈","羊水中有胎便","D",null,[],"本題考點在於待產過程中危險徵象的辨識。羊水中出現胎便（胎便染色羊水）代表胎兒可能經歷子宮內窘迫或缺氧、腸道蠕動與肛門括約肌鬆弛而排出胎便，並有胎便吸入的風險，屬危險徵象，故選 D。A 子宮頸口擴張至 4 公分時破水屬進入活動期的正常產程表現，故錯。B 現血（帶血黏液栓塞排出）是子宮頸變化、產程將啟動的正常徵兆，故錯。C 臍繞頸一圈相當常見，多數可經陰道安全分娩，單純繞頸一圈本身不必然構成危險，故錯（選項末尾夾帶的頁碼標記為掃描雜訊，非題意）。核心在辨識胎便染色羊水為胎兒窘迫的警訊。","胎便染色羊水（meconium-stained amniotic fluid）提示可能的胎兒窘迫，需警覺胎便吸入症候群（MAS），出生時視情況清理呼吸道。危險徵象另含胎心音持續異常、遲發性減速、大量陰道出血、臍帶脫垂。與正常產程徵象（現血、破水、規律陣痛）須區分。記憶：「羊水變綠＝胎兒可能喊救命」。",[24,27,30,32,34],{"term":25,"count":26},"胎兒窘迫",6,{"term":28,"count":29},"胎便吸入症候群",3,{"term":31,"count":10},"待產危險徵象",{"term":33,"count":10},"胎便染色羊水",{"term":35,"count":10},"產程正常徵象",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-014","李女士每 1 分鐘子宮收縮一次，每次持續 50 秒，子宮頸口全開，變薄程度 100%，胎兒先露部位高度為＋2，有強烈想用力的感覺。當子宮收縮時，下列的護理指導何者最恰當？",14,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-109-2-maternal-pediatric-030","下列何種胎產式之胎頭徑線最短，較能順利分娩？",30,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-maternal-pediatric-044","小玉，3 歲，體重 15 公斤，誤食外婆包粽子用的鹼水，就醫時意識清楚，下列處置何者最適當？",44,110,{"webId":52,"stem":53,"number":45,"year":54,"session":45},"nurse-111-2-maternal-pediatric-002","阮女士，目前懷孕 30 週，飲食偏好辣與冷食，公婆一直抱怨這樣飲食型態對孩子健康不好，下列護理處置，何者較不適當？",111,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-112-2-maternal-pediatric-046","有關兒童氣質的相關敘述，下列何者錯誤？",46,112,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-113-3-maternal-pediatric-010","徐女士 30 歲，G 2 P 1 ，懷孕 35 週。因在家感覺子宮規則收縮疼痛，故入院。檢查發現每隔 10 分鐘宮縮一次，持續 30 秒，強度 40 mmHg，內診子宮頸口開 4 公分，70%變薄，胎位為臀位，主訴有很多水從陰道流出。護理師最優先的照護措施為下列何者？",10,113,"2026-09-04",1788510713176]