[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-017":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-017","nurse-110-1-maternal-pediatric-017",110,1,17,"有關正常子宮收縮的特性，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"無法由產婦的意志支配","以子宮底收縮強度最高","受腸胃的神經管制","間歇性的收縮","C",null,[],"本題考點是正常子宮收縮的生理特性，屬找錯誤選項題。考點在於子宮收縮由子宮肌本身的節律性去極化發動、並受自主神經與荷爾蒙（如催產素）調節，並非受腸胃神經管制，故C敘述錯誤為正解。A正確，正常宮縮是不隨產婦意志支配的不隨意收縮。B正確，宮縮以子宮底部收縮力最強、向下遞減，此即底部優勢（fundal dominance），有助推動胎兒下降。D正確，正常宮縮呈間歇性、有收縮與鬆弛交替，鬆弛期讓子宮胎盤血流恢復灌流。理解「子宮肌自主節律與底部優勢」是解題核心。","子宮收縮的節律源自子宮肌的節律細胞（pacemaker，多位於近輸卵管角處），電位波由此向下傳導，形成底部收縮最強、子宮頸最弱的梯度，即底部優勢，這是推進胎兒並使子宮頸被動擴張的力學基礎。收縮的協調性、極性與間歇性缺一不可：若失去底部優勢或節律紊亂，會造成無效宮縮與產程遲滯。間歇的鬆弛期至關重要，因胎盤血流在收縮時受阻、鬆弛時恢復，過強過密的宮縮（如催產素過量）會使胎兒缺氧。宮縮不受腸胃神經支配，此為明顯誤述。",[24,26,28,30],{"term":25,"count":10},"子宮肌節律細胞",{"term":27,"count":10},"底部優勢fundal dominance",{"term":29,"count":10},"不隨意間歇收縮",{"term":31,"count":10},"宮縮與胎盤灌流",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-018","待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",18,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-034","陳女士因痛經求診，護理師的回答，下列何者最適當？",34,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-048","臨床上可以和嬰幼兒玩躲貓貓遊戲，轉移害怕的注意力，主要是利用其已發展何種概念？",48,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-006","葉女士，懷孕 33 週，在正常體重增加與胎兒發展的情況下，逐漸膨大的子宮會使她姿勢發生下列何種改變？",6,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-030","張小妹，1 歲，因發燒入院，護理師欲進行生命徵象測量，有關生命徵象測量相關護理，下列何者最適切？",30,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-024","有關子宮頸抹片檢查，下列敘述何者錯誤？",24,114,3,"2026-09-04",1788510721723]