[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-011","nurse-110-2-maternal-pediatric-011",110,2,11,"陳女士 G 2 P 1 待產時發現胎位為枕後位，主訴腰酸疼痛，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"運用生產球膝跪姿有助於胎頭旋轉，減輕疼痛","採站立弓箭步有助於胎頭旋轉，減輕疼痛","按摩薦骨處，並請待產婦平躺，減輕疼痛","冷熱敷骶骨處，減輕疼痛","C",null,[],"本題考點為枕後位(occiput posterior)待產婦腰薦疼痛的護理措施。依枕後位處置原則,採膝跪、站立弓箭步等直立前傾姿勢有助胎頭旋轉並減輕腰背痛,而請待產婦「平躺」會加重胎頭對薦骨的壓迫與背痛,故不適當者為C。(A)運用生產球膝跪姿促進胎頭旋轉,適當。(B)站立弓箭步(lunge)利用重力與骨盆開張協助旋轉,適當。(D)冷熱敷薦骨可緩解局部酸痛,適當。考點在於枕後位應鼓勵活動與前傾姿勢,避免仰臥加重薦骨壓迫。","枕後位時胎兒枕部壓迫產婦薦骨,造成劇烈腰背痛(back labor)與產程延長。護理重點:鼓勵前傾姿勢(手膝跪、生產球、弓箭步)以利胎頭由OP轉為OA、薦骨反壓(counterpressure)按摩、冷熱敷。應避免仰臥。記憶:「趴、跪、動、壓薦骨」對抗背痛。可連結:胎頭內迴轉機轉、薦骨反壓法、生產球運用、產程遲滯評估。",[24,27,29,31,33],{"term":25,"count":26},"枕後位(OP)",1,{"term":28,"count":26},"背部疼痛(back labor)",{"term":30,"count":26},"前傾姿勢促進旋轉",{"term":32,"count":26},"薦骨按摩",{"term":34,"count":26},"避免仰臥",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-012","有關待產婦呼吸技巧之敘述，下列何者錯誤？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-111-1-maternal-pediatric-028","王小弟，出生 1 個月，有關評估其生殖器之描述，下列何者最正確？",28,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-maternal-pediatric-042","有關自閉症兒童的敘述，下列何者護理照護較為正確？",42,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-112-2-maternal-pediatric-080","小花，3 歲，因腦膜炎（Meningitis）導致顱內壓升高，不會出現下列何種臨床徵象？",80,112,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-1-maternal-pediatric-004","懷孕32週婦女，當有人經過其身旁時，會不由自主用雙手護住肚子，下列何者最能形容其孕期的母性任務行為？",4,114,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-115-1-maternal-pediatric-048","陳小弟，8 歲，罹患癲癇，有關癲癇的照護，下列敘述何者錯誤？",48,115,"2026-09-04",1788510729699]