[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-034","nurse-111-2-maternal-pediatric-034",111,2,34,"王女士，G 1 P 0 ，過去產檢皆正常，於妊娠 32 週產檢時主訴胎動有減少情形，感到很擔心，此時何項處置最適當？",{"A":14,"B":15,"C":16,"D":17},"指導個案返家記錄每日胎動","此為此期常見情形，告知不用擔心","安排無壓力試驗","立即安排引產","C",null,[],"本題考點在胎動減少的產科標準處置流程。依產前胎兒監測原則,妊娠中晚期主訴胎動減少屬胎兒可能缺氧的警訊,首要處置是客觀評估胎兒健康狀況,而無壓力試驗(NST)正是評估胎兒心跳與胎動反應性的第一線非侵入性方法,故選 C。A 返家記錄胎動延誤了當下的評估時機,個案既已察覺異常,應先確認胎兒現況而非只交代自我監測;B 逕自安撫「不用擔心」忽略了胎動減少的臨床意義,屬未評估即下結論;D 立即引產屬過度侵入性處置,在尚未證實胎兒窘迫前並無適應症。故最適當為安排 NST 先行評估。","NST 藉胎心監視器觀察 20 分鐘內胎動伴隨的心跳加速反應:反應型(reactive)代表 20 分鐘內至少 2 次胎動且每次心跳上升 ≥15 bpm、持續 ≥15 秒,反映胎兒自主神經與氧合良好。若為無反應型,再進一步做生物物理評估(BPP)或宮縮壓力試驗(CST)。記憶原則:任何胎動異常先「評估」再處置,評估工具由非侵入到侵入依序升級。",[24,27,30,32],{"term":25,"count":26},"無壓力試驗NST",6,{"term":28,"count":29},"胎動減少",1,{"term":31,"count":29},"胎兒監測",{"term":33,"count":29},"產科評估優先原則",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-035","有關我國後天免疫缺乏症候群母嬰的照護，下列何者錯誤？①產婦的排泄物以漂白水浸泡 1 小時後再沖入馬桶 ②新生兒出生 7 天後即給予預防性投藥 ③可以採取親子同室 ④應鼓勵餵母奶以促進親子關係",35,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-maternal-pediatric-051","翔翔，9 歲，因妹妹癌末瀕臨死亡住院，以下對翔翔的照護措施何者較不適當？",51,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-065","劉小弟，5 歲，因心室中膈缺損長期服用毛地黃，入院行右心導管檢查，有關劉小弟之照護措施，何者最正確？",65,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-maternal-pediatric-033","有關壞死性結腸炎（necrotizing enterocolitis）的敘述，下列何者正確？",33,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-maternal-pediatric-037","有關腸病毒（enteroviruses infection）護理指導，下列敘述何者最適當？",37,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-maternal-pediatric-051","嬰幼兒疼痛評估，不包括下列那一項？",106,"2026-09-04",1788510739300]