[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-109-2-產兒科護理學-003","nurse-109-2-maternal-pediatric-003",109,2,3,"鄭女士因月經過期 8 週而至門診驗孕，她已有一對雙胞胎子女，曾於懷孕 8 週時胚胎因無胎心音而入院接受中止妊娠術，此次門診確認鄭女士已懷孕，因此其孕產史紀錄，下列何項正確？",{"A":14,"B":15,"C":16,"D":17},"G 4 P 2","G 3 P 1 SA 1","G 3 P 1 AA 1","G 4 P 2 AA 1","C",null,[],"本題考點是孕產史（GPA）的記錄判讀。鄭女士本次已確認懷孕（第3次妊娠）、過去曾懷雙胞胎並生產一次、以及一次於8週因無胎心音接受中止妊娠術，故懷孕次數G＝雙胞胎那次＋流產那次＋本次＝3；生產次數P以「妊娠次數」計，雙胞胎雖兩個胎兒仍算一次生產，故P1；那次因施行中止妊娠術屬人工流產，記為AA1，組合為G3 P1 AA1，選項C正確。選項A漏計本次妊娠且P誤植；選項B將人工流產誤記為自然流產SA；選項D把雙胞胎誤算成P2且G多算。故正解為C。","GPA系統要抓兩個關鍵：一是Gravida算『懷孕次數』含本次與流產，Para算『達存活週數的生產次數』且以妊娠次數計，故雙胞胎、三胞胎都只算一次Para。二是流產分類—自然流產記SA（spontaneous abortion）、人工或治療性中止記AA（artificial\u002Finduced abortion）；本題胚胎無胎心音後接受『中止妊娠術』，屬人工介入故歸AA。常見進階記法為GTPAL（孕次、足月產、早產、流產、存活兒數）。判讀陷阱正是把胎兒數當生產數、或混淆SA與AA，本題兩個坑都設了。",[24,27,29,31],{"term":25,"count":26},"孕產史GPA",1,{"term":28,"count":26},"Gravida與Para",{"term":30,"count":26},"人工流產AA",{"term":32,"count":26},"雙胞胎生產計次",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-004","懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",4,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-020","邱女士，產後第三天嚴重脹奶，原想採純母乳哺餵，表示：「昨天都還好，今早突然這樣，實在太痛了，我想打退奶針。」下列何項處置最適當？",20,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-034","陳女士因痛經求診，護理師的回答，下列何者最適當？",34,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-2-maternal-pediatric-072","小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",72,111,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-112-3-maternal-pediatric-036","以「斯佛門-安德生計分法」（Silverman Anderson score）評估早產兒呼吸窘迫情況，下列敘述何者正確？",36,112,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-114-1-maternal-pediatric-030","有關兒童使用眼藥的注意事項，下列敘述何者正確？",30,114,"2026-09-04",1788510717078]