[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-015":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-015","nurse-110-1-maternal-pediatric-015",110,1,15,"以下那些護理評估可以知道待產婦已開始進入第二產程？①破水 ②子宮規則收縮 ③陰道排出粉紅色黏液 ④子宮頸完全擴張 ⑤會陰可見胎頭膨出，個案有不自主用力感",{"A":14,"B":15,"C":16,"D":17},"①②","②③","③④","④⑤","D",null,[],"本題考點是判斷待產婦已進入第二產程的評估指標。考點在於第二產程的定義是自子宮頸完全擴張（10公分）至胎兒娩出，故關鍵指標為④子宮頸完全擴張與⑤會陰可見胎頭膨出、個案有不自主用力感，兩者正是第二產程的特徵，故D正確。①破水、②子宮規則收縮可見於第一產程甚至潛伏期，並非第二產程專屬。③陰道排出粉紅色黏液（見紅）多出現在產程早期子宮頸開始擴張時，同樣非第二產程指標。掌握「子宮頸全開＋不自主用力」這組定義性徵象是解題核心。","產程分期要記其起訖點：第一產程自規則宮縮至子宮頸全開（含潛伏期與活動期）；第二產程自全開至胎兒娩出，特徵為胎頭下降壓迫直腸與骨盆底，產婦出現不自主用力感（Ferguson反射）與會陰膨出、肛門張開；第三產程自胎兒娩出至胎盤娩出；第四產程為產後1–2小時的恢復觀察期。見紅是子宮頸黏液栓脫落伴微血管破裂，屬產程將啟的早期徵象。破水可發生於任何時點，單看破水或宮縮無法定位產程分期。",[24,27,29,31],{"term":25,"count":26},"第二產程定義",2,{"term":28,"count":26},"子宮頸完全擴張",{"term":30,"count":10},"Ferguson反射不自主用力",{"term":32,"count":10},"見紅時機",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-016","入院待產婦裝置體外電子胎兒監測器後，下列何者為第一優先的監測項目？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-032","下列何者不適合使用麥角鹼類藥物（如 Ergonovine）來促進產後的子宮收縮？①妊娠糖尿病 ②前置胎盤 ③子癇前症 ④心臟疾病",32,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-046","兒科護理重視以家庭為中心的照護，有關其基本觀念之一「賦權（empowerment）」的定義，下列敘述何者正確？",46,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-004","有關懷孕期的營養指導，下列何者最適當？",4,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-maternal-pediatric-028","有關自閉症（autistic disorder）兒童的照護，下列敘述何者最適當？",28,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,114,3,"2026-09-04",1788510721712]