[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-112-1-產兒科護理學-011","nurse-112-1-maternal-pediatric-011",112,1,11,"張女士，G 2 P 1 ，懷孕 40 週，子宮頸口擴張 8 公分，變薄 90%，如果出現宮縮強且胎頭迅速下降想用力，下列護理措施何者較不恰當？",{"A":14,"B":15,"C":16,"D":17},"請採哈氣，喘息呼吸","協助側躺姿勢，減輕疼痛","指導產婦用力，保護會陰","採跪趴姿勢，減少用力感受","C",null,[],"本題考點為子宮頸口未全開時的用力時機，較不恰當的措施為 C。張女士頸口 8 公分尚未全開（需達 10 公分），此時指導產婦用力易造成子宮頸水腫或裂傷，故 C「指導產婦用力、保護會陰」為本題答案。A 採哈氣喘息呼吸可抑制用力衝動、B 側躺減輕疼痛、D 跪趴姿勢減少用力感受，皆為此階段合宜的措施。","用力（bearing down）應待子宮頸全開（10 公分）進入第二產程才進行；過早用力會增加頸部裂傷、水腫與產婦疲憊。抑制早期用力衝動可用哈氣（panting）、改變姿勢。記憶：「未全開先哈氣，全開才用力」。",[24,27,30,33,35],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"子宮頸擴張",5,{"term":31,"count":32},"產程護理",3,{"term":34,"count":10},"用力時機",{"term":36,"count":10},"哈氣呼吸",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-1-maternal-pediatric-012","陰道分娩過程中，胎盤以暗紅色的粗糙面被牽引出陰道。有關此胎盤娩出的敘述，下列何者正確？ ①希氏法（Schultze mechanism）娩出 ②鄧氏法（Duncan mechanism）娩出 ③較容易發生剝離不完全 ④較少發生剝離不完全",12,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-2-maternal-pediatric-028","有關於胎兒與新生兒免疫系統之敘述，下列何者正確？",28,2,{"webId":48,"stem":49,"number":50,"year":9,"session":32},"nurse-112-3-maternal-pediatric-042","有關兒童副甲狀腺功能低下症（hypoparathyroidism），下列敘述何者錯誤？",42,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-114-1-maternal-pediatric-040","小強，5歲，長期服用毛地黃（digoxin）之護理指導，下列敘述何者最適當？",40,114,{"webId":57,"stem":58,"number":59,"year":60,"session":46},"nurse-115-2-maternal-pediatric-044","小美，3 歲，罹患癌症需接受化學藥物治療，住院抽血檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 400\u002Fmm 3 ，下列護理措施何者正確？",44,115,{"webId":62,"stem":63,"number":45,"year":64,"session":10},"nurse-107-1-maternal-pediatric-028","新生兒先天性代謝異常疾病中，下列何者不是屬於體染色體隱性遺傳疾病？",107,"2026-09-04",1788510742505]