[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-014","nurse-111-2-maternal-pediatric-014",111,2,14,"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？",{"A":14,"B":15,"C":16,"D":17},"胎頭的矢狀縫合與母體骨盆的前後徑，呈平行狀態","胎頭的冠狀縫合與母體骨盆的前後徑，呈平行狀態","胎頭的額縫合與母體骨盆的前後徑，呈垂直狀態","胎頭的枕下前囟徑與母體骨盆的前後徑，呈垂直狀態","A",null,[],"本題考點在分娩機轉中內回轉完成後胎頭與骨盆徑線的關係。LOA胎頭進入骨盆入口時，矢狀縫多與骨盆橫徑或斜徑一致；當完成內回轉，枕部轉至恥骨聯合下方（正枕前位），此時胎頭的矢狀縫合轉為與母體骨盆的前後徑呈平行（一致）狀態，以利胎頭以最小徑通過骨盆出口，故選A。考點在於「內回轉後矢狀縫對齊骨盆前後徑」。選項B冠狀縫合方向與此機轉無關且描述錯誤；選項C額縫合呈垂直的敘述不符內回轉結果；選項D枕下前囟徑是胎頭俯屈後的最小徑線名稱，但其與骨盆前後徑並非「垂直」關係，描述錯誤。三個錯項皆將縫合或徑線的對位關係寫錯。","分娩七機轉：銜接、下降、俯屈、內回轉、伸展、外回轉（復位）、娩出。內回轉的意義在於讓枕部旋向前方、矢狀縫由橫／斜徑轉為與骨盆出口前後徑平行，因骨盆出口前後徑最長，胎頭順此徑最省力。俯屈使先露徑線縮至枕下前囟徑（約9.5cm）為最小。理解縫合線走向即能推知胎頭在骨盆中的定位。",[24,27,30,32,34],{"term":25,"count":26},"分娩機轉",4,{"term":28,"count":29},"內回轉",1,{"term":31,"count":29},"矢狀縫合",{"term":33,"count":29},"骨盆前後徑",{"term":35,"count":29},"LOA",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-015","根據世界衛生組織（WHO）對無併發症或任何健康問題婦女的待產期照護建議，下列何者正確？",15,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-maternal-pediatric-031","一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",31,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-045","有關兒童血壓測量，下列敘述何者正確？",45,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-013","有關哺乳期各種避孕法，下列敘述何者錯誤？",13,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-115-1-maternal-pediatric-017","有關新生兒頭顱血腫（cephalohematoma）的敘述，下列何者錯誤？",17,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-031","有關糖尿病婦女於妊娠期間護理措施之敘述，下列何者正確？",106,"2026-09-04",1788510739115]