[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-109-2-產兒科護理學-038","nurse-109-2-maternal-pediatric-038",109,2,38,"陳女士 G 4 P 3 ，有急產之經驗，目前子宮頸開 7 公分，主訴一直有便意感，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"請她先上廁所解便，減緩不適","聯絡醫師，並準備生產之環境","陰道內診了解子宮頸口擴張情形","教導先不要用力，採吹蠟燭式呼吸法","A",null,[],"本題考點為經產急產產婦近娩出期的安全護理。依情境,陳女士 G4P3 且有急產史、子宮頸已開 7 公分並持續便意感,提示先露已下降壓迫直腸、產程進展快速,護理應避免讓她如廁以防在廁所生產,故 A「請她先上廁所解便」為錯誤措施,即本題所選。考點在於辨識便意感為胎頭下降而非需排便。B 聯絡醫師並準備生產環境,因急產應提早備妥,正確;C 陰道內診了解擴張情形以評估產程,正確;D 教導先不要用力、採吹蠟燭式呼吸以延緩用力、避免子宮頸未全開即用力,正確。故 A 為答案。","近娩出期的便意感源於胎頭下降壓迫直腸,是即將進入第二產程的訊號,非真的需排便,讓其如廁有廁所生產與胎兒墜地受傷風險。急產(總產程 \u003C3 小時)於經產婦更常見,護理需提早備產、專人陪伴、勿獨留。子宮頸未全開時教導哈氣\u002F吹蠟燭式呼吸以抑制用力,避免子宮頸水腫或裂傷。記憶:「便意不是要大便,是胎頭要出來;急產別放她上廁所」。",[24,26,29,31],{"term":25,"count":10},"第二產程徵象",{"term":27,"count":28},"急產護理",1,{"term":30,"count":28},"胎頭下降便意感",{"term":32,"count":28},"吹蠟燭式呼吸延緩用力",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-039","林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-maternal-pediatric-055","小傑，2 歲，罹患重度海洋性貧血（Thalassemia），需反覆入院輸血。母親為印尼裔回教徒的新住民，中文溝通有限，有關以家庭為中心的護理計畫，下列敘述何者最適當？",55,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-069","小明，3 歲，罹患神經母細胞瘤，進行第一次化學治療需要裝置人工血管，有關人工血管的敘述，下列何者不適當？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-112-1-maternal-pediatric-027","產後 3～10 天，產婦的注意力集中在母親職責的學習及自己身體功能的恢復，這是符合魯賓（Rubin）提出的那一期？",27,112,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-113-1-maternal-pediatric-021","接受子宮頸環紮術（cervical cerclage）之孕婦狀況，下列何者最適合？",21,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-015","產婦產後第一次下床活動前，下列何者為最優先的護理評估？",15,114,"2026-09-04",1788510717403]