[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-016","nurse-110-2-maternal-pediatric-016",110,2,16,"李女士 G 1 P 0 ，子宮收縮每 2 分鐘一次，子宮頸口開 9 公分，變薄程度為 90%，先露部位高度為 0，產婦說：「我很痛，我要用力了」，此時的優先護理措施為何？",{"A":14,"B":15,"C":16,"D":17},"通知麻醉醫師，告知產婦疼痛狀況","教導平躺休息以避免子宮頸腫脹","教導吹熄蠟燭式呼吸","教導閉氣向下用力","C",null,[],"本題考點為子宮頸尚未全開卻出現便意用力時的優先護理。依產程處置原則,子宮頸僅開9公分尚未完全擴張,若過早用力易造成子宮頸水腫與裂傷,應教導吹熄蠟燭式(哈氣\u002F喘息)呼吸以抑制用力衝動,故選C。(A)通知麻醉醫師處理疼痛並非此時最優先。(B)平躺休息無法有效抑制用力反射,且非首要措施。(D)子宮頸未全開即教導閉氣向下用力屬錯誤,會傷害子宮頸。考點在於子宮頸未達10公分前,以哈氣呼吸延後用力以保護子宮頸。","子宮頸未全開(\u003C10公分)出現便意想用力時,應以吹蠟燭式(pant-blow\u002F喘息)呼吸抑制向下用力,避免子宮頸水腫、裂傷與延長產程。待完全擴張後才配合宮縮用力。此題station 0、cervix 9cm、90% effaced,尚差全開。記憶:「沒全開先哈氣,全開才用力」。可連結:子宮頸擴張與變薄、先露高度(station)、過早用力的併發症、第二產程開始時機。",[24,27,30,33,35],{"term":25,"count":26},"子宮頸擴張",5,{"term":28,"count":29},"產程護理",3,{"term":31,"count":32},"過早用力與子宮頸水腫",1,{"term":34,"count":32},"吹熄蠟燭式(哈氣)呼吸",{"term":36,"count":32},"先露高度(station)",[38,42,47,51,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-maternal-pediatric-017","蔡女士第一胎，子宮收縮每 2 分鐘一次，每次持續 60 秒，收縮強度為中度，子宮頸口開 8 公分，突然自然破水，羊水呈棕綠色，無晚期減速或變異性減速的情形。此時最優先的護理措施為何？",17,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-maternal-pediatric-033","有關孕婦接受 B 群（乙型）鏈球菌篩檢之敘述，下列何者錯誤？",33,111,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-111-2-maternal-pediatric-047","小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",47,{"webId":52,"stem":53,"number":26,"year":54,"session":29},"nurse-112-3-maternal-pediatric-005","有關羊膜穿刺術（amniocentesis）的檢查時機及情況，下列敘述何者正確？",112,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-114-1-maternal-pediatric-009","汪女士，生產過程未行會陰切開。胎盤娩出後，檢查發現會陰皮膚及陰道黏膜有撕裂，但未裂至肌肉層。此情況應記錄為會陰部撕裂傷幾度？",9,114,{"webId":61,"stem":62,"number":29,"year":63,"session":10},"nurse-115-2-maternal-pediatric-003","有關孕期乙型鏈球菌篩檢之敘述，下列何者正確？",115,"2026-09-04",1788510729753]