[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":66},"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-014","nurse-112-1-maternal-pediatric-014",112,1,14,"有關胎心率變異性減速的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胎心率在宮縮高峰時開始變慢，宮縮結束後則恢復到基準","進行陰道內診確認臍帶是否受壓迫，必要時協助左側臥","因子宮胎盤灌流過度導致胎血負荷過重所致","為第二產程期間的正常現象，持續觀察即可","B",null,[],"本題考點為變異性減速的成因與處置。變異性減速多因臍帶受壓所致，故 B「進行陰道內診確認臍帶是否受壓迫、必要時協助左側臥」為正確處置，選 B。A 描述的是宮縮高峰後才變慢的晚期減速、C 子宮胎盤灌流問題屬晚期減速機轉、D 誤將其視為正常現象持續觀察即可，皆屬錯誤敘述，予以排除。","三種減速：早期減速（胎頭受壓、與宮縮同步、屬良性）、晚期減速（子宮胎盤灌流不足、宮縮高峰後才降、屬危險）、變異性減速（臍帶受壓、形狀不定呈 V／W）。處置為改變姿勢解除臍帶壓迫、給氧、必要時停催產素。記憶：VEAL CHOP。",[24,27,30,33,36],{"term":25,"count":26},"左側臥",7,{"term":28,"count":29},"變異性減速",6,{"term":31,"count":32},"臍帶受壓",5,{"term":34,"count":35},"胎心率監測",3,{"term":37,"count":35},"宮內復甦",[39,43,48,52,57,62],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-112-1-maternal-pediatric-015","陳女士因陣痛入院待產，目前子宮頸口開 2 公分，Oxytocin 使用，宮縮每 6～7 分鐘一次，每次 20～30 秒，宮縮壓力：40～50 mmHg。主訴陣痛厲害無法忍受，下列措施何者最適當？",15,{"webId":44,"stem":45,"number":46,"year":9,"session":47},"nurse-112-2-maternal-pediatric-031","江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",31,2,{"webId":49,"stem":50,"number":51,"year":9,"session":35},"nurse-112-3-maternal-pediatric-045","有關尿道下裂（hypospadias）病童術後之敘述，下列何者最適當？",45,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-114-1-maternal-pediatric-043","有關初診斷白血病的臨床表徵，下列敘述何者最適當？",43,114,{"webId":58,"stem":59,"number":60,"year":61,"session":47},"nurse-115-2-maternal-pediatric-047","小志，6 個月，男嬰，半夜突然大哭，雙腳屈膝、臉色蒼白、嘔吐物中含膽汁，數分鐘後緩解，20 分鐘後又再次出現上述症狀。檢查尿布，發現大便中含血與黏膜。根據上述症狀，小志可能有什麼健康問題？",47,115,{"webId":63,"stem":64,"number":46,"year":65,"session":10},"nurse-107-1-maternal-pediatric-031","產後婦女使用子宮收縮劑 Methergine 時，須特別留意下列何項生命徵象？",107,"2026-09-04",1788510742522]