[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-產兒科護理學-031","nurse-109-1-maternal-pediatric-031",109,1,31,"張女士目前子宮頸口開 6 公分，每 10 分鐘宮縮 2 次，每次持續 20 秒，宮縮壓力 10 mmHg，產程已持續 3 小時無進展。張女士顯得疲累，胎心音正常，下列臨床處置何者正確？",{"A":14,"B":15,"C":16,"D":17},"準備剖腹產","給予止痛藥","輸注 Ritodrine（Yutopar）","輸注催產素","D",null,[],"本題考點在於產程遲滯合併子宮收縮乏力的判讀,重點在於辨識低張性子宮收縮功能失調:子宮頸已開6公分進入活動期,但每10分鐘僅2次、每次20秒、壓力僅10 mmHg,宮縮過弱且3小時無進展,而胎心音正常無胎兒窘迫,依產程處置原則應加強宮縮,輸注催產素(oxytocin)促進有效收縮,故選D。A剖腹產在胎心音正常、未達手術指徵時過於躁進。B止痛藥會進一步抑制已然不足的宮縮,方向錯誤。C的Ritodrine(Yutopar)為子宮鬆弛劑,會抑制宮縮,與加強產程需求相反。因此正解為D輸注催產素。","低張性收縮功能失調多見於活動期,特徵為收縮頻率與強度均不足、宮腔壓力偏低,常因子宮過度伸展或胎位不正,處置以催產素加強收縮(排除頭盆不對稱後)。相對地,高張性收縮失調多見於潛伏期、收縮強而無效,處置反而是休息與鎮靜。辨析關鍵:Ritodrine是β2致效劑安胎藥「放鬆子宮」,oxytocin「加強子宮」,兩者作用相反不可混淆。可連結產程三階段、催產素輸注時的胎心音監測與子宮過度刺激風險一併複習。",[24,26,28,30],{"term":25,"count":10},"低張性子宮收縮失調",{"term":27,"count":10},"催產素加強宮縮",{"term":29,"count":10},"Ritodrine 子宮鬆弛劑",{"term":31,"count":10},"產程無進展處置",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-032","孕婦早期破水的評估與處置，下列何者錯誤？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-048","婷婷 3 歲，喜歡吸吮大拇指，但是擔心被母親發現，所以總是以另一手遮掩，婷婷覺得自己隱藏得很好，別人不會發現。她的行為是下列何種認知思考特性的反應？",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-062","有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",62,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-020","產後第二天純母乳哺餵的母親詢問：「我的寶寶兩餐之間是否需要餵開水？」下列護理指導何者最適當？",20,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-064","曹小妹為足月產新生兒，有關其出生後會出現之循環變化，下列何者正確？",64,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-028","有關成骨不全（osteogenesis imperfecta）的相關敘述，下列何者錯誤？",28,113,3,"2026-09-04",1788510713346]