[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-004":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-111-1-產兒科護理學-004","nurse-111-1-maternal-pediatric-004",111,1,4,"有關測量胎心音的敘述，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"妊娠 6 週即可用腹部超音波掃描出胎兒心跳","妊娠 16 週可用杜普勒（Doppler）在平臍左右兩側探測胎心音","妊娠 17～20 週可用一般聽診器在腹部聽診到胎心音","妊娠 20 週可用杜普勒（Doppler）在劍突下 1 公分探測胎心音","C",null,[],"本題考點在於各孕週測量胎心音的正確工具與時機。依產科評估原則,一般聽診器(fetoscope)因無擴音功能,約在「妊娠 17～20 週」後才能於腹部聽到胎心音,故 C 最正確,為本題答案。A 腹部超音波約 6～7 週可見胎心搏動,但更早期常需陰道超音波,「妊娠 6 週即可用腹部超音波」敘述過於絕對,不夠精確。B 杜普勒約在「妊娠 10～12 週」即可偵測胎心,16 週說法偏晚,且部位描述不當。D 杜普勒探測位置應依胎位而定,「劍突下 1 公分」並非通則,敘述不當。","胎心音偵測時程記憶:陰道超音波約 5～6 週、腹部超音波約 6～7 週可見心搏;杜普勒約 10～12 週可聽到胎心;一般聽診器需 17～20 週。聽診部位隨胎位變化:頭位在母體下腹、臀位在上腹,背朝哪側就在該側較清楚。正常胎心率 110～160 bpm。此題以工具的靈敏度先後排序即可判斷,聽診器最不靈敏、需最晚。",[24,27,29,31,33],{"term":25,"count":26},"腹部超音波",2,{"term":28,"count":10},"胎心音測量",{"term":30,"count":10},"一般聽診器",{"term":32,"count":10},"杜普勒",{"term":34,"count":10},"妊娠週數",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-005","蔡女士，懷孕第 13 週，主訴上週出國到茲卡病毒疫區，她擔心胎兒會受到影響，護理師的回應，下列何者適當？",5,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-maternal-pediatric-021","有關產後生命徵象的評估，下列何者正確？",21,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-maternal-pediatric-035","承上題，超音波掃描確認胎兒心跳正常，此時最適當的照護措施為何？",35,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-maternal-pediatric-023","李女士以oxytocin 進行引產，胎心音出現變異性減速，下列處置何者最適當？",23,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-2-maternal-pediatric-027","一名 1 歲嬰兒誤食家用清潔劑，被家長緊急送至急診，經評估其呼吸穩定但持續流口水、咳嗽。下列護理處置何者較適當？",27,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-maternal-pediatric-021","黃女士，G 2 P 2 ，陰道產後 6 小時尚未排尿，她表示：「我從生產到現在只喝一點水，沒什麼尿液感」，下列護理處置何者最適宜？",106,"2026-09-04",1788510735346]