[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-014":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":10},"nurse-109-2-產兒科護理學-014","nurse-109-2-maternal-pediatric-014",109,2,14,"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：",{"A":14,"B":15,"C":16,"D":17},"通知醫師","聽胎心音","計算宮縮的時間與頻率","測量血壓與脈搏","B",null,[],"本題考點為破水後的優先評估順序。依破水後臍帶可能被沖出或受壓的風險,首要確認胎兒安危,故破水後最優先聽胎心音以偵測臍帶脫垂造成的胎心減速,選 B。考點在於辨識「破水」是臍帶脫垂的高危時機。A 通知醫師並非此刻最優先,應先取得胎兒狀態資訊再通報;C 計算宮縮時間頻率評估的是產程進展,非破水後最急迫的胎兒安全;D 測量血壓脈搏評估母體循環,與破水後立即的胎兒危機無直接關聯。先聽胎心音符合「破水先評估胎兒」的準則。","破水瞬間羊水湧出可能將臍帶帶至先露前方形成臍帶脫垂,先露壓迫臍帶會急遽阻斷臍血流,造成胎心變異減速或延長減速。故臨床破水後三步:先聽胎心音、觀察羊水顏色量味(胎便染色提示胎兒窘迫)、記錄破水時間。若出現胎心減速或內診摸到搏動索狀物,即為臍帶脫垂緊急處置。記憶口訣:「破水先聽心,再看水,記時間」。",[24,26,29,31],{"term":25,"count":10},"破水後臍帶脫垂風險",{"term":27,"count":28},"胎心音優先評估",1,{"term":30,"count":28},"羊水性狀觀察",{"term":32,"count":28},"胎兒窘迫辨識",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-015","下列何者為胎兒的先露部位和母親骨盆前後左右的關係？",15,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-maternal-pediatric-031","王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",31,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-045","小莉，3 歲，因被熱湯潑及，處於燒燙傷急救期（emergent period），當小莉在低血量休克狀態下時，下列何者為最有效的止痛劑給予途徑？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-112-1-maternal-pediatric-003","有關胎兒發育的描述，下列何者正確？",3,112,{"webId":53,"stem":54,"number":55,"year":51,"session":50},"nurse-112-3-maternal-pediatric-047","小倩，11 歲，有急性腎衰竭病史，因控制不佳，此次入院診斷為慢性腎衰竭，有關其護理照護之敘述，下列何者最不適當？",47,{"webId":57,"stem":58,"number":59,"year":60,"session":28},"nurse-114-1-maternal-pediatric-041","有關海洋性貧血兒童使用排鐵劑（deferoxamine）治療，下列敘述何者錯誤？",41,114,"2026-09-04",1788510717165]