[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-110-2-產兒科護理學-008","nurse-110-2-maternal-pediatric-008",110,2,8,"李女士月經週期約 28～45 天，產前門診剛確定懷孕，最後一次月經來是上個月 3 號，下列何者為最準確的預產期推估法？",{"A":14,"B":15,"C":16,"D":17},"用最後一次月經（LMP）日期，以內格來氏法推估","詢問其最可能的排卵受孕日期，再加上 266 天","等到第二孕期感受到胎動的日期，再加上 20～22 週","以超音波觀察胚胎發育，例如：妊娠囊、胎心音","D",null,[],"本題考點為預產期(EDC)推估法的準確度選擇。依內格來氏法(Naegele's rule)須以規則的28天週期為前提,而李女士月經週期28～45天並不規則,以LMP推估誤差大,故以超音波觀察胚胎發育(妊娠囊、胎心音)推估最準確,選D。(A)LMP搭配內格來氏法在週期不規則時偏差大。(B)排卵受孕日加266天雖理論可行,但實際排卵日難以精確回溯。(C)以胎動加20～22週推估屬粗估,個別差異大。考點在於月經週期不規律時,早期超音波是最可靠的孕齡與預產期依據。","內格來氏法:LMP第一天−3個月+7天+1年,假設固定28天週期與第14天排卵。週期不規則或不確定LMP時,首選第一孕期超音波(以crown-rump length測量),誤差最小;越早的超音波估孕齡越準。記憶:「規則用Naegele,不規則用早期超音波」。可連結:CRL孕齡估算、雙頂徑BPD、排卵期變異對推估的影響、266天(受孕後)vs 280天(LMP後)。",[24,27,29,31,33],{"term":25,"count":26},"預產期推估",1,{"term":28,"count":26},"內格來氏法(Naegele's rule)",{"term":30,"count":26},"早期超音波估孕齡",{"term":32,"count":26},"月經週期不規則",{"term":34,"count":26},"妊娠囊與胎心音",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-009","護理師執行腹部四段式操作法之主要目的為何？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-111-1-maternal-pediatric-025","王女士表示：「我不准我兒子來，他們天天吵，太皮了，萬一妹妹怎樣就麻煩了。」下列敘述何者最適當？",25,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-maternal-pediatric-039","劉女士，28 歲，因外陰部搔癢、排尿時有灼熱感並有濃稠白色的陰道分泌物，內診時可見陰道壁有乳酪狀白色附著物，最有可能是下列何種病原感染？",39,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-112-2-maternal-pediatric-077","有關肌肉失養症（Muscular Dystrophy）病童之臨床表徵與處置，下列敘述何者不適當？",77,112,{"webId":55,"stem":56,"number":26,"year":57,"session":26},"nurse-114-1-maternal-pediatric-001","有關婦嬰生命統計資料的敘述，下列何者錯誤？",114,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-115-1-maternal-pediatric-045","有關腸套疊（intussusception）的敘述，下列何者正確？",45,115,"2026-09-04",1788510729655]