[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-109-1-產兒科護理學-032","nurse-109-1-maternal-pediatric-032",109,1,32,"孕婦早期破水的評估與處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"觀察陰道分泌物的顏色及味道","監測白血球及 C 反應蛋白的變化","盡量減少陰道內診次數，以降低感染機會","確認懷孕 34～36 週者胎兒的成熟度，如已成熟即可剖腹產","D",null,[],"本題考點在於孕婦早期破水(PROM)的評估與處置原則。依產科處置準則,早期破水須警覺上行性感染,故要觀察羊水顏色氣味、監測白血球與C反應蛋白等發炎指標、並儘量減少陰道內診次數以降低感染,這些A、B、C皆正確;而D敘述「懷孕34至36週確認胎兒成熟即可剖腹產」為錯誤,破水後若母胎狀況穩定且無感染或胎兒窘迫,首選為評估後的陰道生產或引產,並非直接剖腹產,剖腹產須有明確產科指徵。因此錯誤選項為D。","早期破水管理核心是「感染監測」與「妊娠週數權衡」:未足月PROM(\u003C37週)須評估肺部成熟與感染風險,常給予抗生素預防感染、必要時給類固醇促胎肺成熟並期待療法延長妊娠;足月PROM則多在數小時內引產以降低感染。破水後最怕絨毛膜羊膜炎與臍帶脫垂。辨析重點:破水本身不是剖腹產指徵,生產方式仍依產科適應症決定。可連結硝嗪試紙(nitrazine)與羊齒狀結晶確認破水、B群鏈球菌篩檢等概念延伸。",[24,27,29,31],{"term":25,"count":26},"早期破水 PROM",2,{"term":28,"count":10},"絨毛膜羊膜炎感染監測",{"term":30,"count":10},"C反應蛋白與白血球",{"term":32,"count":10},"剖腹產須有產科指徵",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-033","丁女士在產後 10 天惡露量突然變多且呈紅色，到門診產後檢查後確立為子宮復舊不全，造成子宮復舊不全的主要原因為何？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-maternal-pediatric-049","有關生命末期兒童疼痛評估和照護，下列敘述何者最不適當？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-063","王小弟，2 歲，因肺部的下葉上節有痰液蓄積，護理師為其執行姿位引流，下列姿勢何者最適當？",63,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-021","有關產後生命徵象的評估，下列何者正確？",21,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-maternal-pediatric-065","劉小弟，5 歲，因心室中膈缺損長期服用毛地黃，入院行右心導管檢查，有關劉小弟之照護措施，何者最正確？",65,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-029","小華會把樂高分享給小美，兩人會交換玩具，但各玩各的，是屬於兒童遊戲發展那一個階段？",29,113,3,"2026-09-04",1788510713358]