[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-110-1-產兒科護理學-008","nurse-110-1-maternal-pediatric-008",110,1,8,"有關雷奧波德式操作法（Leopold’s maneuvers）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"在妊娠 12 週即可操作","第一段操作法的目的為找出胎兒的那一部位位於子宮底","檢查前需要先脹膀胱","第三段操作法的目的之一為找出最適當的胎心音聽診部位","B",null,[],"本題考點是雷奧波德式操作法（Leopold's maneuvers）四段觸診的目的。考點在於第一段操作法是雙手觸診子宮底，用以辨識子宮底處是胎兒的哪一部位（頭或臀），藉此判斷胎產式，故B正確。A錯在腹部觸診通常於妊娠後期（約第三孕期）胎兒夠大時才能清楚辨識，12週太早。C錯在檢查前應請孕婦排空膀胱以利觸診並增加舒適，而非脹尿。D錯在找出最適當胎心音聽診部位是透過第二段辨識胎背位置達成，並非第三段；第三段（Pawlik手法）是抓握恥骨上方以判斷先露部是否入盆。記住四段各自對應的解剖部位是解題關鍵。","Leopold四段可用「上、旁、下、盆」記憶：第一段觸子宮底（fundus）判斷底部是頭或臀；第二段觸兩側找胎背與小肢體，胎背側即最佳胎心聽診位置；第三段Pawlik手法抓握恥骨聯合上方先露部，判斷入盆與否及可動性；第四段雙手向骨盆入口下探，評估胎頭下降程度與俯屈姿勢。頭位時胎心於臍下、母體左或右下腹最清楚；臀位則在臍上。檢查前排空膀胱、屈膝放鬆腹肌可提高觸診準確度。",[24,27,29,31],{"term":25,"count":26},"子宮底觸診",2,{"term":28,"count":10},"Leopold四段操作法",{"term":30,"count":10},"胎背與胎心聽診位置",{"term":32,"count":10},"Pawlik手法判斷入盆",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-009","有關胎兒呼吸系統發育，下列敘述何者正確？",9,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-025","白女士因胎兒窘迫接受剖腹生產，採腰椎硬膜外麻醉，有關於術後姿勢及其護理指導，下列何者最適當？",25,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-039","容易出現經前症候群的女性生命週期為那一時期？",39,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-maternal-pediatric-077","有關使用格拉斯哥氏昏迷量表（Glasgow Coma Scale, GCS）評估兒童意識程度，下列敘述何者正確？",77,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-maternal-pediatric-021","初產婦 34 歲，妊娠 38 週胎兒發育符合妊娠週數，因破水入院後 24 小時仍無宮縮，予以評估子宮頸成熟度，發現其子宮頸擴張＜1 公分，子宮頸變薄 30%，無法觸診到胎兒的先露部位，子宮頸位置在後方且堅硬。依據上述情境，若採 Bishop 計分法評估，以決定後續相關處置，下列敘述何者較適當？",21,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-015","根據魯賓（Rubin）產後母親行為態度之研究，下列敘述何者表示產後婦女正處於接受期（Taking-in Phase）？",15,114,3,"2026-09-04",1788510721635]