[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":64},"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-016","nurse-112-1-maternal-pediatric-016",112,1,16,"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？",{"A":14,"B":15,"C":16,"D":17},"立即通知醫師","正常，可繼續監測胎心率","鼓勵個案在每次宮縮時繼續用力向下","教導個案呼吸技巧","A",null,[],"本題考點為胎心率過緩的判讀與處置。第一產程活動期，在宮縮的「休息期（即基準線）」測得胎心率僅 90 bpm，已低於正常 110～160 bpm，屬胎兒心搏過緩、可能胎兒窘迫，須立即通知醫師，故選 A。B 誤判為正常、C 鼓勵用力（頸口未必全開且會加重窘迫）、D 僅教呼吸技巧，皆延誤處置，故排除。","胎心率基準線正常為 110～160 bpm，\u003C110 為心搏過緩，常見於臍帶受壓、胎盤灌流不足或母體低血壓。休息期測得的才是真正基準線。初步處置為改變姿勢、給氧、停催產素並通知醫師，必要時準備緊急生產。",[24,27,30,33,35],{"term":25,"count":26},"胎兒窘迫",6,{"term":28,"count":29},"第一產程活動期",3,{"term":31,"count":32},"胎心率基準線",2,{"term":34,"count":10},"心搏過緩",{"term":36,"count":10},"通知醫師",[38,42,46,50,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-1-maternal-pediatric-017","有關胎心音監測的敘述，下列何者正確？",17,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-112-2-maternal-pediatric-033","有關比夏計分法（Bishop’s score）之敘述，下列何者正確？",33,{"webId":47,"stem":48,"number":49,"year":9,"session":29},"nurse-112-3-maternal-pediatric-047","小倩，11 歲，有急性腎衰竭病史，因控制不佳，此次入院診斷為慢性腎衰竭，有關其護理照護之敘述，下列何者最不適當？",47,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-114-1-maternal-pediatric-045","有關急性腎絲球腎炎（acute glomerulonephritis）病童的照護措施，下列敘述何者最適當？",45,114,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-115-2-maternal-pediatric-049","蘇小妹，3 歲，開顱手術後第 2 天，有關評估顱內壓上升的症狀，下列何項評估不適當？",49,115,{"webId":61,"stem":62,"number":45,"year":63,"session":10},"nurse-107-1-maternal-pediatric-033","何女士，妊娠 29 週，突然感到腹部劇烈疼痛，檢查結果為 TPR：36.6℃，90 次\u002F分，16 次\u002F分， BP：140\u002F90 mmHg，胎心音難測得，子宮硬且有壓痛，宮縮 60～80 mmHg，無陰道出血或羊水流出。根據何女士的臨床狀況，其可能有下列何項問題？",107,"2026-09-04",1788510742545]