[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-027":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-027","nurse-111-2-maternal-pediatric-027",111,2,27,"有關剖腹產後陰道生產（vaginal birth after cesarean, VBAC）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"前胎剖腹生產的次數，不影響 VBAC","前置胎盤者，可以建議行 VBAC","前胎採子宮下段橫切剖腹產，此胎不宜行 VBAC","曾有子宮破裂病史者，此胎不宜行 VBAC","D",null,[],"本題考點在剖腹產後陰道生產（VBAC）的適應與禁忌。曾有子宮破裂病史者，再次生產時子宮破裂風險極高，屬VBAC絕對禁忌，故選D「此胎不宜行VBAC」正確。考點在於子宮破裂史為VBAC禁忌。選項A「前胎剖腹次數不影響VBAC」錯誤，多次剖腹產會增加子宮破裂風險、降低VBAC適合度；選項B前置胎盤本身就是經陰道生產禁忌，不可建議VBAC；選項C「前胎採子宮下段橫切、此胎不宜VBAC」方向錯誤，下段橫切口正是最適合嘗試VBAC的切口型態（破裂風險最低），反而古典式（子宮體縱切）才是禁忌。三個錯項在剖腹次數、前置胎盤與切口型態上判斷相反或錯誤。","VBAC適應原則：前次為子宮下段橫切口、單胎頭位、無其他剖腹指徵、具備緊急剖腹與輸血能力的產房者較適合嘗試。禁忌包括：古典式（縱切）或T型切口、子宮破裂史、前置胎盤、CPD等。子宮下段橫切因該處肌層薄、收縮少、癒合佳，破裂率最低（約0.5～1%），故是VBAC的前提條件；古典切口破裂率高達數%且常在產前發生，屬絕對禁忌。理解切口位置與破裂風險的關係是解題關鍵。",[24,27,29,32,34],{"term":25,"count":26},"前置胎盤",7,{"term":28,"count":10},"子宮破裂",{"term":30,"count":31},"VBAC",1,{"term":33,"count":31},"子宮下段橫切口",{"term":35,"count":31},"古典式剖腹產禁忌",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-028","有關新生兒臍帶的照護措施，下列何者不適當？",28,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-112-1-maternal-pediatric-044","針對嬰幼兒生長發展情況之敘述，下列何者錯誤？",44,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-058","小立，6 歲，一週前被三斑家蚊叮咬，之後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬的症狀，其抽取腦脊髓液的檢查結果，下列敘述何者正確？",58,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-026","合併唇裂（cleft lip）與腭裂（cleft palate）嬰幼兒之手術前護理措施，下列敘述何者最適當？",26,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":31},"nurse-115-1-maternal-pediatric-030","有關兒童之健康評估結果，下列敘述何者顯示發展異常？",30,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-044","執行嬰兒心肺復甦術時，下列何者錯誤？",106,"2026-09-04",1788510739230]