[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-031","nurse-110-2-maternal-pediatric-031",110,2,31,"王女士，懷孕 32 週，突然發生陰道出血而入院，醫囑住院安胎。評估個案未覺腹痛，出血呈鮮紅色、量中。護理師的處置與指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"密切觀察生命徵象及出血狀況","若安胎失敗，只能採剖腹生產","評估與治療前，給予個案和家屬說明程序","禁止執行陰道檢查","B",null,[],"本題考點為前置胎盤(placenta previa)的臨床辨識與處置，要選錯誤敘述。依前置胎盤無痛性、鮮紅色陰道出血的特徵，題幹個案未覺腹痛、出血鮮紅屬典型。生產方式須依胎盤覆蓋子宮頸內口的程度決定，完全性須剖腹產，但邊緣性或低位仍可能陰道生產，故B斷言只能剖腹產為錯誤，選B。密切監測生命徵象與出血(A)、處置前向個案家屬說明程序(C)、禁止陰道內診以免觸發大出血(D)皆正確。判斷關鍵在生產方式並非一律剖腹。","產前出血兩大鑑別：前置胎盤(無痛、鮮紅、子宮軟)對比胎盤早期剝離(疼痛、暗紅或隱性出血、子宮硬如板、可致DIC)。前置胎盤診斷靠超音波定位，禁做陰道內診與肛診。安胎目標爭取胎肺成熟，可給類固醇促進肺泡表面張力素生成。記憶：previa等於painless、abruptio等於painful。",[24,27,29,32],{"term":25,"count":26},"前置胎盤",7,{"term":28,"count":26},"胎盤早期剝離",{"term":30,"count":31},"無痛性鮮紅出血",1,{"term":33,"count":31},"禁止陰道內診",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-maternal-pediatric-032","下列何者不適合使用麥角鹼類藥物（如 Ergonovine）來促進產後的子宮收縮？①妊娠糖尿病 ②前置胎盤 ③子癇前症 ④心臟疾病",32,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"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":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-maternal-pediatric-062","有關罹患呼吸系統疾病兒童接受胸腔物理治療之敘述，下列何者最適當？",62,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-maternal-pediatric-020","陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",20,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-114-1-maternal-pediatric-024","在已開發國家中會以那些措施預防愛滋病的母子垂直感染？①妊娠期接受完整的抗愛滋病毒藥物治療    ②採剖腹生產   ③新生兒給與預防性口服抗愛滋病毒藥物     ④分娩前母親血中病毒量＜400 copies\u002FmL者方可哺餵母乳",24,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-maternal-pediatric-018","握住新生兒的大腿並輕輕往下施壓，做內收（adduction）動作，檢查股骨頭在關節內是否有滑脫現象，此為新生兒先天性髖關節脫臼的何種徵象測試？",18,115,"2026-09-04",1788510729901]