[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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-016","nurse-111-1-maternal-pediatric-016",111,1,16,"下列何者為枕後位（OP）第一、二產程延長的主要機轉？",{"A":14,"B":15,"C":16,"D":17},"需要不斷的屈曲成為 LOP 位","內迴轉成為枕前位，費時長","在骨盆入口，不易下降","實施外部轉向時，費時較長","B",null,[],"本題考點為枕後位(OP)造成產程延長的機轉。正常分娩胎頭以枕前位(OA)娩出,枕後位時胎頭須在骨盆腔內完成較大角度的內迴轉,由枕後轉為枕前,此過程費時且耗力,是第一、二產程延長的主要原因,故B正確。A敘述屈曲成LOP位方向錯誤且非主因;C「骨盆入口不易下降」並非OP延長的核心機轉,OP多為下降後迴轉困難;D外部轉向術(ECV)用於矯正胎位不正如臀位,與OP產程延長機轉無關,故均錯誤。","枕後位胎頭俯屈不足、徑線較大,需完成135度內迴轉才能轉成OA順利娩出,迴轉過程使產程停滯並常伴劇烈腰背痛(back labor)。若持續性枕後位無法自轉,可能需真空吸引、產鉗或徒手迴轉協助。記憶:OP=多轉90-135度=產程拖長+腰痠。",[24,27,29],{"term":25,"count":26},"胎頭內迴轉",2,{"term":28,"count":26},"產程延長",{"term":30,"count":10},"枕後位 OP",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-111-1-maternal-pediatric-017","陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",17,{"webId":37,"stem":38,"number":39,"year":9,"session":26},"nurse-111-2-maternal-pediatric-033","臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",33,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-maternal-pediatric-047","有關兒童氣質評估之敘述，下列何者正確？",47,112,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-maternal-pediatric-035","小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",35,113,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-114-2-maternal-pediatric-039","小櫻，18 個月大，因細支氣管炎（bronchiolitis）住院治療，對其疾病的相關敘述，下列何者最適當？",39,114,{"webId":56,"stem":57,"number":39,"year":58,"session":10},"nurse-106-1-maternal-pediatric-033","承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",106,"2026-09-04",1788510735454]