[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-032","nurse-112-1-maternal-pediatric-032",112,1,32,"有關胎盤碎片殘留所致產後出血的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"希氏法（Schultze mechanism）娩出胎盤者，較易有胎盤小碎片殘留子宮","是指分娩第二產程處理欠妥，使得部分胎盤碎片殘留子宮","胎盤小碎片殘留常是晚期產後出血之主因","應採雙手壓迫子宮法，促使子宮收縮將胎盤碎片排出","C",null,[],"本題考點為胎盤碎片殘留與晚期產後出血的關係。依據殘留胎盤組織妨礙子宮完全收縮並提供感染與出血源的機轉,胎盤小碎片殘留是晚期(產後 24 小時後至 6 週內)產後出血的常見主因,故 C 正確。A 錯誤,希氏法(Schultze)是胎盤由中央面先剝離娩出,較不易殘留碎片,鄧肯法(Duncan)才較易殘留;B 錯誤,胎盤碎片殘留屬第三產程處理相關,而非第二產程;D 錯誤,雙手壓迫子宮法用於子宮收縮乏力性出血的止血,無法將已附著殘留的碎片「排出」,殘留碎片須靠子宮搔刮或徒手移除。故選 C。","產後出血依時間分:早期(24 小時內,主因子宮收縮乏力)、晚期(24 小時後,主因胎盤碎片殘留或子宮復舊不全)。Schultze 機轉(閃亮胎兒面先出、出血隱藏於後)對比 Duncan 機轉(暗紅母體面先出、易見出血且較易殘留)。記憶:Duncan=dirty(母體面、易殘留)。殘留碎片處置為超音波確認後行子宮內容物清除。",[24,27,30],{"term":25,"count":26},"晚期產後出血",3,{"term":28,"count":29},"胎盤碎片殘留",2,{"term":31,"count":10},"Schultze 與 Duncan 機轉",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-033","當產科急症造成瀰漫性血管內凝血（Disseminated Intravascular Coagulation, DIC）時，下列檢驗數值何者正確？①凝血酶原時間（PT）、部分凝血酶原時間（PTT）延長 ②D-dimer 數值下降 ③血小板數值下降 ④纖維蛋白原（fibrinogen）數值上升",33,{"webId":38,"stem":39,"number":40,"year":9,"session":29},"nurse-112-2-maternal-pediatric-049","依據皮亞傑（Piaget）認知發展理論，有關具體運思期兒童對疾病的概念，下列敘述何者最適宜？",49,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-113-1-maternal-pediatric-013","蔡女士，初產婦，因產程遲滯而行剖腹生產，新生兒出生體重3,800公克。產婦計畫要完全哺餵母乳，擔心自己奶水不足，因為從生產至今已兩天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。有關蔡女士對奶量的擔心，下列措施何者不適當？",13,113,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-114-2-maternal-pediatric-011","郭女士，懷孕 39 週。主訴：「自今天凌晨 1 點開始陸續出現陣痛，有時半小時，有時 20 分鐘痛一次，不太規則。大概從半夜 3 點開始，宮縮變得規則且明顯，大約 5 分鐘一次」。早上 6 點因子宮頸口開 3 公分且 3～4 分鐘宮縮一次而入院待產。下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分陰道娩出一健康女嬰。下午 4 點 20 分胎盤娩出。請問郭女士此次生產第一產程時間應記錄為何？",11,114,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-106-1-maternal-pediatric-015","張女士待產時胎心率發生變異性減速（variable deceleration），此時護理師應最先執行的護理措施為下列那一項？",15,106,{"webId":57,"stem":58,"number":40,"year":59,"session":10},"nurse-107-1-maternal-pediatric-049","有關誤食毒物對兒童身體器官功能損傷的描述，下列何者正確？",107,"2026-09-04",1788510742683]