[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-012":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-111-2-產兒科護理學-012","nurse-111-2-maternal-pediatric-012",111,2,12,"王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",{"A":14,"B":15,"C":16,"D":17},"提供呼吸技巧的訓練及舒適措施指導","每 30 分鐘陰道內診一次，以監測產程進展","協助經常改變姿勢促進舒適與放鬆","每 2 小時提醒待產婦解小便排空膀胱","B",null,[],"本題考點在辨識第一產程潛伏／活動早期的不當護理處置。個案子宮頸開4公分、宮縮50 mmHg且能自在交談，屬活動期早期。頻繁陰道內診會增加上行性感染風險，故不應「每30分鐘內診一次」，選項B為不適當處置、即答案。考點在於內診頻率應有節制以降低感染。選項A提供呼吸技巧與舒適措施是產程中適切的支持；選項C協助改變姿勢促進舒適與產程進展適當；選項D每2小時提醒排空膀胱可避免膀胱脹滿妨礙胎頭下降，亦屬正確照護。三個正確選項都是降低不適與併發症的常規措施，唯B過度內診增加感染而不當。","產程內診時機原則：非必要不頻繁，通常活動期每2～4小時或情況改變（破水、想用力、宮縮型態改變）時評估，以減少絨毛膜羊膜炎風險，尤其破水後更須節制。WHO亦建議減少不必要的例行性介入。膀胱排空每2小時提醒，因脹滿膀胱阻礙胎頭下降並增加產後宮縮不良風險。",[24,27,30,33],{"term":25,"count":26},"上行性感染",4,{"term":28,"count":29},"第一產程活動期",3,{"term":31,"count":32},"陰道內診頻率",1,{"term":34,"count":32},"產程照護",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-maternal-pediatric-013","王女士，G 1 P 0 ，懷孕 24 週，常規的產前檢查正常。詢問護理師：「我有時會覺得肚子繃緊，但不覺得痛。繃緊感有時候幾秒鐘就過去，通常不超過 1 分鐘，沒有其他不舒服，這樣是正常嗎？」下列的回答，何者最適當？",13,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-maternal-pediatric-029","正常新生兒出生 4～6 小時內，最主要的能量來源為何？",29,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-maternal-pediatric-043","有關預防嬰兒搖晃症候群（Shaken Baby Syndrome）之護理照護措施，下列敘述何者正確？",43,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-maternal-pediatric-011","有關治療子宮內膜異位症的藥物，下列何者錯誤？",11,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-maternal-pediatric-015","依據學者 Rubin 對產後婦女行為表現的觀察，下列何者屬於接受期（taking–in）的行為特色？",15,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-maternal-pediatric-029","有關女性新生兒生殖器之成熟度評估，下列何者最成熟？",106,"2026-09-04",1788510739080]