[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-015":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-015","nurse-109-1-maternal-pediatric-015",109,1,15,"有關待產時胎心音之監測，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"持續性胎心音監測可大幅降低新生兒周產期死亡率","持續性胎心音監測可能增加剖腹產率","低危險妊娠建議採間歇性的胎心音監測","高危險妊娠第一產程應每 15 分鐘記錄胎心音一次","A",null,[],"本題考點在於持續性胎心音監測（EFM）的實證效益與限制，屬「找錯誤」題。多項實證顯示持續性電子胎心音監測相較間歇性聽診，並未證實能大幅降低新生兒周產期死亡率或腦性麻痺發生率，卻明顯提高剖腹產與器械助產率，故「可大幅降低周產期死亡率」與實證不符、為錯誤敘述、即答案 A。B 持續性監測確會增加剖腹產率，敘述正確。C 低危險妊娠可採間歇性胎心音監測即可，敘述正確。D 高危險妊娠第一產程建議約每 15 分鐘記錄胎心音一次以加密監測，敘述方向正確。核心在辨識 EFM 增加介入率卻無降低死亡率的實證共識。","持續性 EFM 的主要價值在偵測胎心變異與減速型態，但假陽性偏高，導致不必要的剖腹產與器械助產，未顯著改善長期新生兒預後。低危產婦間歇性聽診即足夠。監測頻率：低危第一產程活動期約每 15–30 分鐘、第二產程每 5 分鐘；高危則更密。記憶：「EFM 增加開刀、未減死亡」是常考反直覺點。",[24,27,30,32,34],{"term":25,"count":26},"周產期死亡率",4,{"term":28,"count":29},"間歇性聽診",2,{"term":31,"count":10},"持續性胎心音監測 EFM",{"term":33,"count":10},"剖腹產率",{"term":35,"count":10},"監測頻率",[37,41,45,50,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-016","李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",16,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-109-2-maternal-pediatric-032","子癇前症之症狀，下列何者錯誤？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-1-maternal-pediatric-046","下列何者是造成兒童燒傷急救期（emergent period）休克的主要原因？",46,110,{"webId":51,"stem":52,"number":26,"year":53,"session":29},"nurse-111-2-maternal-pediatric-004","王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",111,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-112-2-maternal-pediatric-048","小桃，8 歲，因氣喘發作住院接受治療，主訴：「因為我愛吃冰，然後出去玩沒戴口罩，也沒穿外套，所以就發作了」，下列何者為小桃此階段「疾病概念」發展的特色？",48,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-maternal-pediatric-012","有關產後憂鬱症（postpartum depression）的敘述，下列何者錯誤？",12,113,3,"2026-09-04",1788510713191]