[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-產兒科護理學-006","nurse-110-1-maternal-pediatric-006",110,1,6,"懷孕 32 週婦女接受無壓力性試驗（Nonstress Test; NST）20 分鐘後，未發現胎兒有活動訊號，下列措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"給予補充含糖電解質飲料，再監測","立即安排住院密切觀察","請孕婦返家，等到 34 週再監測","鼻吸氧氣 2～3 L\u002Fmin，30 分鐘後再監測","A",null,[],"本題考點是無壓力性試驗（NST）呈無反應型時的初步處置。考點在於NST在20分鐘內未見胎動，最常見的原因是胎兒正處於睡眠週期或母體血糖偏低，屬良性可逆狀況，因此先給予含糖電解質飲料喚醒胎兒、延長監測時間為最適當的第一步，故A正確。B立即安排住院屬過度反應、非首選。C請孕婦返家等到34週再監測會延誤評估、並不安全。D鼻吸氧氣多用於已判定胎兒窘迫時，並非無反應型的第一線處置。掌握「先排除胎兒睡眠與低血糖」的階梯式評估邏輯是解題關鍵。","NST反應型（reactive）的標準為20分鐘內至少兩次胎動伴隨胎心率加速達15 bpm、持續15秒以上。無反應型不等於胎兒缺氧，最常見假陽性來自胎兒睡眠（sleep-wake cycle約20–40分鐘）。處置階梯：先以進食含糖飲料、聲音或振動刺激（vibroacoustic stimulation）喚醒並延長監測；仍無反應才進一步安排生物物理評估（BPP）或宮縮壓力試驗（CST）。給氧與住院屬確認胎兒窘迫後的介入，順序不可跳階。",[24,26,28,30],{"term":25,"count":10},"NST反應型判讀標準",{"term":27,"count":10},"胎兒睡眠週期",{"term":29,"count":10},"無反應型階梯處置",{"term":31,"count":10},"振動聲音刺激",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-007","懷孕婦女詢問為什麼她臉頰、額頭最近開始出現一些褐色斑點，護理師以下解釋，何者正確？",7,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-023","婦女於正常陰道生產後的復舊生理變化，下列何者所需時間最長？",23,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-037","陰道鏡檢查的最大優點是可清楚檢測子宮那一個部位之病灶？",37,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-019","有關正確含乳（suckling）的表徵，下列敘述何者不適當？",19,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-013","有關產後泌尿系統評估，下列敘述何者正確？",13,114,3,"2026-09-04",1788510721615]