[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-111-2-產兒科護理學-018","nurse-111-2-maternal-pediatric-018",111,2,18,"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？",{"A":14,"B":15,"C":16,"D":17},"真陣痛","假陣痛","混合型陣痛","無法分辨陣痛型態","B",null,[],"本題考點在真陣痛與假陣痛（Braxton Hicks）的鑑別。個案宮縮壓力40 mmHg、頻率不規則、子宮頸無變化、疼痛侷限腹部、走動可減輕，這些特徵完全符合假陣痛，故選B。考點在於「不規則、子宮頸無進展、走動可緩解、痛在腹部」為假陣痛四要點。選項A真陣痛應為規則且漸強、走動不減反增、疼痛由背部延伸至腹部、且子宮頸進行性擴張變薄，與本題相反；選項C「混合型陣痛」並非標準臨床分類，屬混淆選項；選項D「無法分辨」不成立，本題徵象已明確指向假陣痛。三個錯項或方向相反或為虛設分類。","真假陣痛鑑別表：真陣痛規則且間隔漸短、強度漸增、痛感始於背部繞至腹前、走動加劇、子宮頸進行性變薄擴張；假陣痛不規則、強度不增、侷限下腹、走動或休息可緩解、子宮頸無變化。臨床鑑別關鍵在「子宮頸是否進行性改變」——這是唯一確定指標，需間隔內診比較。個案宮縮壓力40mmHg雖有一定強度，但缺乏規則性與子宮頸進展仍歸假陣痛。",[24,26,29,30],{"term":25,"count":10},"子宮頸變化",{"term":27,"count":28},"真假陣痛鑑別",1,{"term":15,"count":28},{"term":31,"count":28},"Braxton Hicks",[33,37,42,46,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-2-maternal-pediatric-019","有關新生兒蒙古斑的敘述，下列何者錯誤？",19,{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-112-1-maternal-pediatric-035","承上題，超音波掃描確認胎兒心跳正常，此時最適當的照護措施為何？",35,112,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-112-2-maternal-pediatric-049","依據皮亞傑（Piaget）認知發展理論，有關具體運思期兒童對疾病的概念，下列敘述何者最適宜？",49,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-113-3-maternal-pediatric-017","護理人員使用新貝拉（New Ballard Score）量表，進行四位出生第 3 小時的新生兒成熟度評估，下列那位新生兒可能為早產兒？",17,113,3,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-115-1-maternal-pediatric-021","張女士，30 歲，G1P0，妊娠 16 週產檢的血壓量測值為 118\u002F75 mmHg，尿蛋白與尿糖測試均為陰性（-）。妊娠 28 週產檢的血壓值為 140\u002F96 mmHg，間隔四小時再測之血壓值 145\u002F100 mmHg，尿蛋白與尿糖測試均為陰性（-），依據上述相關症狀的敘述，下列何者為張女士最可能之診斷？",21,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-2-maternal-pediatric-035","下列何者為罹患乳癌的高危險群？①長期使用雌激素及黃體激素 ②母乳親餵 ③維持身體質量指數（BMI）於 23 ④從未懷孕",106,"2026-09-04",1788510739156]