[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-109-2-產兒科護理學-012","nurse-109-2-maternal-pediatric-012",109,2,12,"有關待產婦之護理，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"待產時如無破水，應鼓勵產婦下床走動，促進有效宮縮","待產時應常變換姿勢，促進身體舒適與放鬆","活動期的晚期應教導待產婦開始用力，以促進胎頭下降","定期排空膀胱，促進胎頭下降","C",null,[],"本題考點是待產婦的護理措施，須選「錯誤」敘述。教導產婦用力屬第二產程（子宮頸全開10公分後）的處置，若在第一產程活動期晚期、子宮頸尚未全開就開始用力，會造成子宮頸水腫、損傷並延遲產程，故選項C不適當、為正解。選項A待產若未破水，鼓勵下床走動可藉重力促進有效宮縮與胎頭下降，正確；選項B常變換姿勢增進舒適與放鬆，正確；選項D定期排空膀胱、避免脹大的膀胱阻礙胎頭下降，正確。","產程分期是本題關鍵：第一產程（規則宮縮至子宮頸全開）再細分潛伏期、活動期，任務是子宮頸擴張與變薄，此時『尚不可用力』；第二產程（全開至胎兒娩出）才是向下用力的時機。過早用力（premature pushing）在子宮頸未全開時施壓，會使前唇水腫、擴張受阻甚至撕裂，反而拖慢產程。護理要點：潛伏活動期鼓勵活動、變換姿勢、水分與排尿、疼痛支持；教導用力時機需待內診確認全開。記憶口訣『沒全開別用力』能一次破解此類產程護理題。",[24,27,29,32,34],{"term":25,"count":26},"產程分期",3,{"term":28,"count":10},"第二產程用力時機",{"term":30,"count":31},"子宮頸全開",1,{"term":33,"count":31},"過早用力併發症",{"term":35,"count":31},"待產護理",[37,41,46,50,54,58],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-maternal-pediatric-013","初產婦廖女士進入產房待產，足月且孕期無其他併發症，目前每 5 分鐘子宮收縮一次，每次約收縮 30 秒，沒有破水，陰道有粉色分泌物，內診發現其子宮頸變薄 80%且已擴張 3 公分，station 0。廖女士詢問是否可以下床走動，下列回應何者較適切？",13,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-maternal-pediatric-029","有關新生兒免疫系統的敘述，下列何者錯誤？",29,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,{"webId":51,"stem":52,"number":31,"year":53,"session":31},"nurse-112-1-maternal-pediatric-001","有關分娩期的支持性照護措施，下列何者較不適當？",112,{"webId":55,"stem":56,"number":57,"year":53,"session":26},"nurse-112-3-maternal-pediatric-045","有關尿道下裂（hypospadias）病童術後之敘述，下列何者最適當？",45,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-114-1-maternal-pediatric-039","有關黴漿菌性肺炎（mycoplasma pneumonia）之敘述，下列何者正確？",39,114,"2026-09-04",1788510717153]