[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-006":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-111-2-產兒科護理學-006","nurse-111-2-maternal-pediatric-006",111,2,6,"李女士，懷孕 40 週尚無產兆，前來進行 30 分鐘的無壓力試驗，有關無壓力試驗判讀所需的資料，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"宮縮時胎心率出現至少 15 秒的加速","胎心率的變異性介於 3～6 次／分鐘","前 10 分鐘無胎動，後 10 分鐘 5 次胎動","胎心率加速通常介於 12～15 次／分鐘","A",null,[],"本題考點在無壓力試驗（NST）的反應型（reactive）判讀標準。依標準準則，NST的胎心率加速是伴隨「胎動」而非「宮縮」出現，20分鐘內至少2次、每次加速幅度≥15次\u002F分、持續≥15秒，即為反應型（代表胎兒健康）。選項A把加速歸因於「宮縮時」出現，混淆了NST（看胎動）與收縮壓力試驗（CST，看宮縮），描述錯誤，故為答案。考點在於NST看的是胎動而非宮縮引發的加速。選項B胎心率變異性正常應大於6次\u002F分，介於3～6屬偏低，此為對變異性的正確認知描述用於判讀資料範疇；選項C描述胎動出現情形屬判讀所需資料；選項D加速幅度12～15次\u002F分之描述屬判讀參數範疇。相較之下A的機轉歸因明確錯誤。","區辨NST與CST：NST為非侵入性，記錄胎動時的胎心加速反應，反應型代表胎兒自主神經與中樞氧合良好；CST（催產素或乳頭刺激誘發宮縮）則觀察宮縮後是否出現晚期減速，評估胎盤儲備。記憶「15-15-20-2」：加速≥15bpm、持續≥15秒、20分鐘內≥2次。變異性（variability）中度正常為6～25次\u002F分，過低（\u003C5）可能反映胎兒睡眠、缺氧或藥物影響。",[24,27,30,32,34],{"term":25,"count":26},"胎心率加速",5,{"term":28,"count":29},"反應型判讀",3,{"term":31,"count":29},"胎心率變異性",{"term":33,"count":10},"無壓力試驗",{"term":35,"count":36},"NST與CST區別",1,[38,42,47,51,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-2-maternal-pediatric-007","有關我國全民健康保險給付之產前檢查時間，一般孕婦常規接受妊娠糖尿病篩檢的週數為何？",7,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,112,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-112-2-maternal-pediatric-037","有關血清抗穆氏管荷爾蒙（Anti-mullerian Hormone, AMH）檢查之敘述，下列何者錯誤？",37,{"webId":52,"stem":53,"number":26,"year":54,"session":29},"nurse-113-3-maternal-pediatric-005","阮氏女士，懷孕 32 週，有關胎動監測之護理指導，下列何者不適當？",113,{"webId":56,"stem":57,"number":58,"year":59,"session":36},"nurse-115-1-maternal-pediatric-009","有關待產期間使用電子胎心音監測之敘述，下列何者錯誤？",9,115,{"webId":61,"stem":62,"number":45,"year":63,"session":10},"nurse-106-2-maternal-pediatric-023","有關產後腸蠕動功能的評估，下列何者錯誤？",106,"2026-09-04",1788510739025]