[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-013","nurse-109-2-maternal-pediatric-013",109,2,13,"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？",{"A":14,"B":15,"C":16,"D":17},"我沒法做決定，妳最好去問醫師","只要妳覺得舒服，儘可下床活動","應躺在床上，以免走路活動影響子宮收縮","建議妳臥床休息，我們比較容易監測子宮收縮及胎心音","B",null,[],"本題考點在待產潛伏期至活動期早期的活動指導。依產程照護原則,廖女士足月無併發症、尚未破水、胎頭已固定於 station 0,下床走動可藉重力促進胎頭下降與子宮頸擴張,並無禁忌,故選 B。考點在於辨識「胎頭已固定且未破水」即為安全下床的條件。A 將護理判斷推給醫師,屬推諉且未提供衛教,不符護理專業角色;C 稱走動會影響子宮收縮,與生理學相反,直立活動反而強化有效宮縮;D 以「方便監測」為由要求臥床,是以醫護方便凌駕產婦舒適與產程進展,屬不當限制。","直立與活動能增加骨盆入口徑線、借重力促進先露下降,並提升宮縮效率、縮短第一產程、降低剖腹產率,是現代產程照護鼓勵的自由活動原則。可下床的安全前提:胎頭已銜接(station 0 或以下)、未破水或破水後先露已固定、無產科出血或胎心異常。破水而先露未固定時才需臥床以防臍帶脫垂。記憶要點:「頭固定、未破水→可下床;頭浮高、剛破水→先臥床」。",[24,27,29,31],{"term":25,"count":26},"產程潛伏期活動指導",1,{"term":28,"count":26},"胎頭銜接 station 0",{"term":30,"count":26},"重力促進胎頭下降",{"term":32,"count":26},"產程自由活動原則",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-014","承上題，廖女士的子宮收縮逐漸增強，陣痛越來越密且痛的持續時間較久，胎膜在此時破裂，護理師立即扶她上床，躺下後最優先執行的措施為：",14,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-030","有關女陰癌之敘述，下列何者正確？",30,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-044","針對注意力不足／過動症（attention deficit hyperactivity disorder, ADHD）的行為表現與診斷之敘述，下列何者錯誤？",44,{"webId":48,"stem":49,"number":10,"year":50,"session":26},"nurse-112-1-maternal-pediatric-002","下列何種情況之孕婦最需要協助轉介遺傳諮詢？",112,{"webId":52,"stem":53,"number":54,"year":50,"session":55},"nurse-112-3-maternal-pediatric-046","有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",46,3,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-114-1-maternal-pediatric-040","小強，5歲，長期服用毛地黃（digoxin）之護理指導，下列敘述何者最適當？",40,114,"2026-09-04",1788510717156]