[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-016","nurse-109-2-maternal-pediatric-016",109,2,16,"有關胎心率的監測，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"正常足月兒的胎心率範圍介於 120～160 bpm","胎兒受感染時，會導致胎心率過慢","胎心率基準線指監測 10 分鐘以上兩次宮縮間的胎心率","正常足月兒的胎心率變異性約在 6～10 bpm","B",null,[],"本題考點是胎心率監測的正確概念，選錯誤者。B「胎兒受感染會導致胎心率過慢」方向錯誤：胎兒感染或母體發燒時，代謝率升高與交感神經興奮會使胎心率「過速（tachycardia，>160 bpm）」而非過慢，故B為錯誤敘述，答案B。A正常足月胎兒胎心率約120～160 bpm、C胎心率基準線指監測10分鐘以上、兩次宮縮間的平均胎心率、D正常變異性約在6～10 bpm（屬中度變異範圍），此三者為正確敘述。故選B。","胎心率過速的常見原因：母體發燒／絨毛膜羊膜炎（胎兒感染）、母體或胎兒缺氧早期、藥物（擬交感、副交感抑制劑）、甲狀腺亢進——記住『感染／發燒＝心跳快』的方向（就像人發燒會心跳加速）。胎心率過慢（bradycardia，\u003C110～120 bpm）則多見於胎兒缺氧後期、臍帶受壓、傳導障礙。基準線（baseline）定義為10分鐘內、排除加速與減速、宮縮之間的平均值；變異性（variability）反映自律神經調節，中度（6～25 bpm）代表胎兒狀況良好，變異消失才是警訊。本題屬『方向講反』型誘答，務必記牢感染→心跳過速。",[24,27,29,32],{"term":25,"count":26},"胎心率監測",3,{"term":28,"count":26},"胎心率變異性",{"term":30,"count":31},"胎兒感染致心跳過速",1,{"term":33,"count":31},"胎心率基準線定義",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-maternal-pediatric-017","下列何者為子宮收縮頻率（frequency）的定義？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-maternal-pediatric-033","李女士產後 8 小時，惡露呈鮮紅色，1 小時內即浸溼整片產墊，下列護理措施何者錯誤？",33,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-maternal-pediatric-047","有關兒童虐待的敘述，下列何者錯誤？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-maternal-pediatric-005","陳女士，懷孕 32 週，預計採陰道生產。下列何項為最有效的伸展會陰部肌肉之產前運動？",5,112,{"webId":54,"stem":55,"number":56,"year":52,"session":26},"nurse-112-3-maternal-pediatric-049","有關兒童顱內壓增高的臨床表徵及處置，下列敘述何者錯誤？",49,{"webId":58,"stem":59,"number":60,"year":61,"session":31},"nurse-114-1-maternal-pediatric-043","有關初診斷白血病的臨床表徵，下列敘述何者最適當？",43,114,"2026-09-04",1788510717188]