[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-010","nurse-111-2-maternal-pediatric-010",111,2,10,"妊娠 36 週時，腹部四段式觸診觸得胎位是 LOA，則評估胎心音時，超音波胎音器（doppler）應放在何處，會聽得最清楚？",{"A":14,"B":15,"C":16,"D":17},"肚臍周圍","左側肚臍、髖骨前上棘延長線","右側肚臍與髖骨前上棘連線的中點","左側肚臍與髖骨前上棘連線的中點","D",null,[],"本題考點在依胎位（LOA）判定胎心音聽診最佳位置。四段式觸診得LOA（左枕前位）表示枕部朝母體左前方，胎背在母體左側，而胎心音在頭產式時經由胎背傳導最清楚，聽診點位於臍與髂前上棘連線的中點且偏胎背側，故選D「左側肚臍與髖骨前上棘連線的中點」。考點在於「枕前位聽胎背側、位置在臍與髂前上棘連線中點」。選項A肚臍周圍是臀產式或橫位常見位置，不符頭產式；選項B「左側肚臍、髖骨前上棘延長線」位置描述不精確，非標準中點；選項C定位於右側，與LOA胎背在左側相反，方向錯誤。三個錯項不是側別錯就是定位點錯。","聽胎心音口訣：找胎背、頭產式在臍下、臀產式在臍上或臍平。LOA胎背在母體左前下方，故聽診點在左下腹臍與左髂前上棘連線中點。方位命名三碼＝先導部位參考點（枕O\u002F薦S\u002F頦M）＋母體側別（左L\u002F右R）＋前後（A\u002FP\u002FT）。LOA、ROA為最常見且利於生產的胎位。若為臀位（如LSA），胎心音則上移至臍平或臍上。",[24,27,29,32],{"term":25,"count":26},"胎背傳導",3,{"term":28,"count":10},"胎心音聽診位置",{"term":30,"count":31},"LOA左枕前位",1,{"term":33,"count":31},"四段式觸診",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-011","陳女士，產後 1 小時後評估發現其子宮位置於臍上 2 指且偏向右側，其最有可能的原因為何？",11,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-maternal-pediatric-027","產後 3～10 天，產婦的注意力集中在母親職責的學習及自己身體功能的恢復，這是符合魯賓（Rubin）提出的那一期？",27,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-041","楊小妹，1 歲，體重 10 公斤，有關事故傷害預防之護理指導，下列敘述何者最適當？",41,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",9,113,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-115-1-maternal-pediatric-013","蘇女士 G3P3，懷孕 34 週早期破水緊急剖腹生產，產後第 9 天在家來電主訴：「擠奶 30 分鐘後，身體移動時陰道感覺有東西流出，發現有如 50 元硬幣大小的血塊（如圖示），廁所途中仍持續出血，2 天前開始喝生化湯」，下列解釋何者最不適當？",13,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-maternal-pediatric-027","林小妹，出生 2 個月，體重 5 公斤，每 4 小時餵食配方奶一次，請問每次應餵食多少 c.c.？",106,"2026-09-04",1788510739064]