[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-013","nurse-111-2-maternal-pediatric-013",111,2,13,"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？",{"A":14,"B":15,"C":16,"D":17},"這可能是早產的徵兆，需要立即通知醫師，可能需要住院安胎","雖然目前沒事，但妳可能是早產的高危險群，需要多臥床休息","這種收縮對子宮頸變薄有幫助，妳的身體開始生產前的準備，不用擔心","這是懷孕期間一種正常的無痛性子宮收縮，無需太擔心","D",null,[],"本題考點在辨識Braxton Hicks收縮（假性宮縮）並給予正確衛教。個案24週、無痛、繃緊感數秒至1分鐘、無其他不適，屬正常的無痛性子宮收縮（Braxton Hicks），衛教應說明其為懷孕期正常現象、無需過度擔心，故選D。考點在於辨識無痛性生理性宮縮並安撫。選項A將其誤判為早產徵兆要求立即通知並住院安胎，過度反應且不符臨床判讀；選項B妄下「早產高危險群」定論並要求臥床，缺乏依據且製造焦慮；選項C說「這種收縮對子宮頸變薄有幫助、身體開始生產準備」為錯誤衛教，Braxton Hicks不會造成子宮頸變薄或進行性擴張。三個錯項不是誤判為病理，就是給了錯誤機轉。","Braxton Hicks收縮特徵：不規則、無痛或僅緊繃、不會愈來愈強、走動或休息可緩解、不造成子宮頸進行性變化，屬假性陣痛。與真陣痛（規則、漸強、走動不減、子宮頸進行性擴張變薄）對比是本類必考。早產宮縮則為規則且伴隨子宮頸變化。衛教核心是辨識與安撫，並教導出現規則疼痛、出血、破水或胎動減少等警訊時須就醫評估。",[24,27,29,31],{"term":25,"count":26},"Braxton Hicks收縮",1,{"term":28,"count":26},"假性陣痛",{"term":30,"count":26},"無痛性子宮收縮",{"term":32,"count":26},"真假陣痛區別",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-014","有關胎兒娩出的過程，當左枕前位（LOA）的胎兒完成內回轉（internal rotation）。此時胎頭與母體骨盆間的關係，下列敘述何者正確？",14,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-030","有關維持新生兒出生即刻體溫穩定的措施，下列何者不適當？",30,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-044","罹患自閉症的學齡期兒童，母親應該如何與之互動最合適？",44,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-012","有關產後憂鬱症（postpartum depression）的敘述，下列何者錯誤？",12,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-maternal-pediatric-016","黃女士，G1P1，產後第一天，向護理師詢問：「我現在沒有奶水，可以餵奶嗎？」下列護理師的回應何者最適宜？",16,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-030","有關新生兒黃疸的敘述，下列何者正確？",106,"2026-09-04",1788510739109]