[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-產兒科護理學-012","nurse-110-1-maternal-pediatric-012",110,1,12,"有關生產疼痛之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"第一產程疼痛來源主要是子宮收縮與子宮頸變薄及擴張","第二產程疼痛來源主要是子宮收縮、陰道與會陰肌肉的伸張與伸展","第三產程疼痛來源主要是胎盤排出時子宮收縮和子宮頸擴張","生產疼痛是相當主觀而有個別性經驗，與個人過去經驗有關","B",null,[],"本題考點是三個產程各自的疼痛來源，屬找錯誤選項題。考點在於各產程疼痛的解剖來源不同：第一產程主要是子宮收縮與子宮頸的變薄擴張；第二產程時子宮頸已完全擴張，疼痛主要來自胎頭下降對會陰、陰道與骨盆底組織的伸張壓迫，官方判定B將來源界定為錯誤選項。C所述第三產程與D所述疼痛的主觀個別性均屬正確。此題選項界定較細緻、部分教科書對第二產程是否併計子宮收縮描述不一，故依官方標準以B為錯誤敘述，判讀時以「產程對應的主要痛源解剖部位」為依歸。","疼痛神經傳導可幫助理解：第一產程痛屬內臟痛，經T10–L1脊神經傳入，來自子宮體收縮缺血與子宮頸擴張，痛感瀰漫於下腹與腰薦。第二產程痛屬軀體痛，經陰部神經（pudendal nerve，S2–S4）傳入，來自陰道、會陰與骨盆底的牽張，痛感明確集中於會陰。第三產程胎盤剝離時子宮再度收縮致痛。本題屬選項用語辨析爭議題，考生宜掌握「內臟痛對子宮頸／軀體痛對會陰」的神經節段對應主軸，遇界定模糊選項時審慎比較。",[24,26,28,30],{"term":25,"count":10},"第一產程內臟痛T10-L1",{"term":27,"count":10},"第二產程陰部神經S2-S4",{"term":29,"count":10},"子宮頸擴張痛",{"term":31,"count":10},"會陰牽張痛",[33,37,42,47,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-013","李女士待產時宮縮疼痛非常焦慮不安，下列護理措施何者錯誤？",13,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-029","有關新生兒腸胃系統及排泄，下列敘述何者錯誤？",29,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-043","有關遭受性虐待後之兒童可能出現的行為表現，下列敘述何者不適當？",43,111,{"webId":48,"stem":49,"number":10,"year":50,"session":41},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",112,{"webId":52,"stem":53,"number":54,"year":55,"session":41},"nurse-113-2-maternal-pediatric-025","劉女士卵巢癌分期 IIIC，本週接受減積手術，劉女士表示自己不再是完整的女人也擔心影響夫妻間的性生活，下列護理師之回應何者較不恰當？",25,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-maternal-pediatric-019","檢查新生兒是否有髖關節先天發育不良，其檢查方法何者正確？",19,114,3,"2026-09-04",1788510721674]