[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-016":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-016","nurse-110-1-maternal-pediatric-016",110,1,16,"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？",{"A":14,"B":15,"C":16,"D":17},"辨識出胎心加速的型態","評估胎心率基準線","確立子宮收縮強度","確立子宮收縮的頻率","B",null,[],"本題考點是體外電子胎兒監測器裝置後的評估優先順序。考點在於判讀胎心監測的第一步永遠是先確立胎心率基準線（baseline），因為後續的加速、減速、變異性都必須以基準線為參考點才能判讀，沒有基準線就無從評估其餘變化，故B為第一優先。A辨識胎心加速型態、C確立子宮收縮強度、D確立宮縮頻率都是在基準線建立之後才進行的後續評估。理解「基準線是一切胎心判讀的參照起點」這個判讀邏輯順序是本題核心。","胎心率判讀的標準流程：先取10分鐘內排除加速減速的平均值定出基準線（正常110–160 bpm），再評估變異性（variability，反映自主神經與胎兒氧合，中度變異最令人安心），接著判讀加速（reassuring）與減速型態。早期減速對應胎頭受壓、變異性減速對應臍帶受壓、晚期減速對應胎盤功能不良（最需警覺）。宮縮強度須靠內監測導管才能量化，體外監測僅能測頻率與相對型態。先基準線、後變化，是不可顛倒的判讀次序。",[24,27,29,31],{"term":25,"count":26},"胎心率基準線",2,{"term":28,"count":10},"變異性variability",{"term":30,"count":10},"減速型態判讀",{"term":32,"count":10},"判讀優先順序",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-033","有關德國麻疹與懷孕關係，下列敘述何者錯誤？",33,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-047","一般 2 歲兒童的生長發育，下列敘述何者錯誤？",47,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-005","張女士，40 歲，懷孕 17 週，來院進行羊膜穿刺術，下列敘述何者錯誤？",5,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-maternal-pediatric-029","奇奇，2 歲，因為住院而出現分離焦慮，為了協助奇奇宣洩負向情緒，下列何種治療性遊戲較合適？",29,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-023","產婦產後立即性大出血，必須嚴密監測下列何項情況的發生？",23,114,3,"2026-09-04",1788510721717]