[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-011","nurse-109-2-maternal-pediatric-011",109,2,11,"有關產婦生產用力的描述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"蹲姿生產是利用地心引力來幫助產婦向下用力","產婦利用橫膈膜和腹部的肌肉來向下用力，其他肌肉放鬆，以免浪費力氣","生產閉氣用力太長容易導致產婦肺靜脈回流上升，不利胎兒產出","側躺姿勢有助於緩解向下用力的感覺，讓產婦較舒適","C",null,[],"本題考點是產婦生產用力的生理原理，須選「錯誤」敘述。長時間閉氣用力（伐氏操作）會使胸腔內壓升高、靜脈回流「減少」、心輸出量下降，進而降低胎盤灌流不利胎兒，選項C卻稱肺靜脈回流「上升」，方向相反、為錯誤敘述，故為正解。選項A蹲姿利用地心引力協助向下用力，正確；選項B以橫膈膜與腹肌向下用力、其他肌肉放鬆以節省力氣，正確；選項D側躺可緩解向下用力的急迫感、增加產婦舒適，正確。","生產用力涉及腹壓與循環的平衡。開放性聲門用力（呼氣式）比長時間閉氣的伐氏操作更理想：後者胸腔內壓持續升高會壓迫大靜脈、減少回心血量與心輸出，導致母體血壓波動與胎盤血流下降，胎兒可能出現心跳變化，故不建議長時間憋氣。姿勢方面，直立、蹲、跪能借重力助胎頭下降；側臥則減緩會陰壓力與用力衝動、利於控制產出速度保護會陰。記憶重點：『開放聲門、順著宮縮、避免久憋』是現代第二產程用力指導的主軸，本題的錯誤即在循環方向搞反。",[24,27,30,32,35],{"term":25,"count":26},"胎盤灌流",7,{"term":28,"count":29},"生產姿勢",3,{"term":31,"count":10},"靜脈回流",{"term":33,"count":34},"第二產程用力",1,{"term":36,"count":34},"伐氏操作",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-2-maternal-pediatric-012","有關待產婦之護理，下列敘述何者錯誤？",12,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-110-1-maternal-pediatric-028","下列新生兒的皮膚評估，何者為異常？",28,110,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-110-2-maternal-pediatric-042","小強，5 歲，因溺水急救後送至急診，體溫為 29℃，下列處置何者錯誤？",42,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-2-maternal-pediatric-080","張小弟，5 個月大，因不慎跌落床下，診斷為顱內出血，有顱內壓增高（increase intracranial pressure, IICP）現象，有關其護理措施，下列敘述何者較不適當？",80,111,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-112-3-maternal-pediatric-044","小恩，12 歲，接受化學治療出現掉髮，顯得悶悶不樂，不願離開病房與他人互動。有關其護理措施，下列敘述何者錯誤？",44,112,{"webId":62,"stem":63,"number":64,"year":65,"session":34},"nurse-114-1-maternal-pediatric-038","使用氧氣頭罩（O 2 hood）之照護措施，下列敘述何者最不適當？",38,114,"2026-09-04",1788510717137]