[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-015":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-015","nurse-112-1-maternal-pediatric-015",112,1,15,"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？",{"A":14,"B":15,"C":16,"D":17},"向陳女士解釋，連絡醫師給予腰椎硬膜外麻醉止痛","簽同意書，並協助醫師準備腰椎硬膜外麻醉止痛之用物","根據陳女士宮縮壓力情形，給予按摩放鬆技巧以減輕疼痛","向陳女士解釋，目前產程無法採用腰椎硬膜外麻醉止痛，可調快 Oxytocin","C",null,[],"本題考點為早期產程劇痛的合宜措施。陳女士頸口僅開 2 公分屬第一產程潛伏期，宮縮間隔仍長，此階段不宜過早施行硬膜外麻醉，應先提供按摩、放鬆技巧等非藥物減痛，故選 C。A、B 過早安排腰椎硬膜外麻醉並不恰當；D 為減痛而調快 Oxytocin 反而增強宮縮疼痛且不安全，故排除。","硬膜外麻醉一般於進入活動期（約 4～5 公分以上、產程確立）後施行，過早可能延緩產程。潛伏期減痛以非藥物法為主：按摩、呼吸法、姿勢改變、生產球、水療。以調快催產素來「止痛」為錯誤邏輯，會增加宮縮強度與胎兒窘迫風險。",[24,27,30,33,36],{"term":25,"count":26},"催產素",8,{"term":28,"count":29},"硬膜外麻醉",7,{"term":31,"count":32},"非藥物減痛",4,{"term":34,"count":35},"第一產程潛伏期",2,{"term":37,"count":10},"產痛護理",[39,43,47,52,57,62],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-112-1-maternal-pediatric-016","第一產程活動期的待產婦，每 3 分鐘宮縮 1 次，每次持續 45 秒，個案在宮縮的休息期，胎心率為 90 bpm，下列何項護理措施較適當？",16,{"webId":44,"stem":45,"number":46,"year":9,"session":35},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,{"webId":48,"stem":49,"number":50,"year":9,"session":51},"nurse-112-3-maternal-pediatric-046","有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",46,3,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-114-1-maternal-pediatric-044","小雄，3歲，罹患威爾姆氏腫瘤（Wilms tumor）第三期，有關護理照護，下列敘述何者錯誤？",44,114,{"webId":58,"stem":59,"number":60,"year":61,"session":35},"nurse-115-2-maternal-pediatric-048","有關小兒急性腸胃炎（acute gastroenteritis）臨床表徵之敘述，下列何者錯誤？",48,115,{"webId":63,"stem":64,"number":46,"year":65,"session":10},"nurse-107-1-maternal-pediatric-032","楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",107,"2026-09-04",1788510742527]