[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-014","nurse-110-2-maternal-pediatric-014",110,2,14,"有關第二產程的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"胎頭下降壓迫薦椎和閉孔神經，使產婦有便意感","建議採超過 10 秒閉氣用力法","在第二產程的休息期時，不建議用力","指子宮頸完全擴張到胎兒完全娩出的過程","B",null,[],"本題考點為第二產程用力方式的安全性。依現行實證,不建議超過10秒的長時間閉氣用力(prolonged Valsalva),因會降低母體回心血量與胎盤灌流、影響胎兒供氧,故錯誤者為B。(A)胎頭下降壓迫薦椎與神經叢引發便意感,正確。(C)第二產程收縮間的休息期不建議用力,以保存體力並維持胎盤灌流,正確。(D)第二產程定義為子宮頸完全擴張到胎兒完全娩出的過程,正確。考點在於提倡開放性聲門、隨宮縮自發用力,避免長時間閉氣導致胎兒缺氧。","用力方式:傳統長時間閉氣Valsalva用力(閉氣>10秒、憋氣向下)會升高胸內壓、減少靜脈回流與心輸出量,降低胎盤血流與胎兒氧合;現行建議「開放性聲門(open glottis)、隨宮縮自發、每次約6–8秒、間歇換氣」。休息期不用力以恢復。記憶:「短、自發、別長憋」。可連結:Valsalva生理效應、第二產程時限、延遲用力(labor down)、胎心監測判讀。",[24,27,30,32,34],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"閉氣用力(Valsalva)",1,{"term":31,"count":29},"開放性聲門用力",{"term":33,"count":29},"胎盤灌流與胎兒氧合",{"term":35,"count":29},"產程定義",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-maternal-pediatric-015","下列何種胎位之生產時間通常較短？",15,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-maternal-pediatric-031","王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",31,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-maternal-pediatric-045","兒童誤食下列那種毒物時，可採用催吐處理？",45,{"webId":51,"stem":52,"number":53,"year":54,"session":53},"nurse-112-3-maternal-pediatric-003","張女士，懷孕 30 週，主訴近期常感覺頻尿及偶有漏尿十分困擾，下列護理指導何者較不適當？",3,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-1-maternal-pediatric-007","有關待產婦因過度產痛所引起的不良生理變化，下列敘述何者錯誤？",7,114,{"webId":61,"stem":62,"number":29,"year":63,"session":10},"nurse-115-2-maternal-pediatric-001","有關以實證為基礎的低風險婦女之生產照護原則，下列何者不適當？",115,"2026-09-04",1788510729741]