[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-017":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-017","nurse-111-2-maternal-pediatric-017",111,2,17,"使用催產素催生的待產婦女，當發生下列何種情況仍可持續使用催產素促進產程？",{"A":14,"B":15,"C":16,"D":17},"胎頭與骨盆不對稱","胎兒窘迫","前置胎盤","早期破水","D",null,[],"本題考點在催產素（oxytocin）催生的禁忌與可持續使用情境。催產素會加強子宮收縮，凡是不宜經陰道生產或收縮會惡化胎兒狀況的情形皆為禁忌。選項D「早期破水」本身不是使用催產素的禁忌，破水後若無感染且需引產，仍可使用催產素促進產程，故選D為可持續使用者。考點在於區辨催產素的絕對禁忌。選項A胎頭與骨盆不對稱（CPD）為禁忌，強化宮縮可能導致子宮破裂；選項B胎兒窘迫時加強宮縮會進一步減少胎盤灌流、惡化缺氧，須停用；選項C前置胎盤禁止經陰道生產與催生，會引發大出血。三個錯項都是加強宮縮將造成母胎危險的明確禁忌，唯早期破水非禁忌。","催產素禁忌記憶：凡「不能經陰道生」或「宮縮惡化胎兒／子宮」皆禁——CPD、前置胎盤、橫位、胎兒窘迫、前次古典式剖腹產或子宮破裂史、臍帶脫垂等。使用時須連續監測宮縮與胎心，警惕子宮過度刺激（tachysystole）與子宮破裂。破水（PROM）若足月無感染反而是引產適應症之一。用藥採低劑量起始、漸進調整並嚴密監測。",[24,27,29,31,34],{"term":25,"count":26},"催產素",8,{"term":16,"count":28},7,{"term":15,"count":30},6,{"term":32,"count":33},"引產禁忌",1,{"term":35,"count":33},"胎頭骨盆不對稱",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-018","一位足月懷孕的孕婦，因腹痛來院準備待產，護理師評估其疼痛的性質：子宮收縮壓力在 40 mmHg，收縮的頻率不規則，子宮頸沒有變化，疼痛與不適的部位侷限在腹部，協助來回走動時其疼痛可減輕，該產婦的子宮收縮是屬於那一種陣痛？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-112-1-maternal-pediatric-034","張女士，懷孕 8 週，主訴陰道點狀出血、腹部微痛，超音波檢查子宮頸口未開，可能為下列何種情形？",34,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-048","小桃，8 歲，因氣喘發作住院接受治療，主訴：「因為我愛吃冰，然後出去玩沒戴口罩，也沒穿外套，所以就發作了」，下列何者為小桃此階段「疾病概念」發展的特色？",48,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-016","有關胎盤早期剝離之敘述，下列何者錯誤？",16,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":33},"nurse-115-1-maternal-pediatric-020","張女士，懷孕 32 週，突然感到下腹疼痛，陰道流出暗紅色血液，立即就診，下列何者為最有可能的問題？",20,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-034","下列何者為嚴重產後出血的徵象？",106,"2026-09-04",1788510739144]