[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-112-2-產兒科護理學-005","nurse-112-2-maternal-pediatric-005",112,2,5,"張女士，40 歲，懷孕 17 週，來院進行羊膜穿刺術，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"告知無需事先喝水漲滿膀胱","協助平躺並鋪設無菌區域","可以無需麻醉協助抽取羊水","此時目的在評估胎兒成熟度","D",null,[],"本題考點在懷孕 17 週羊膜穿刺術的目的與護理，屬反向題,要找出錯誤者。依羊膜穿刺的適應時機，第二孕期中期(約 16～18 週)施行的目的在於染色體與遺傳診斷(如唐氏症篩檢),而非評估胎兒成熟度,錯誤敘述為 D(評估胎兒肺部成熟度是妊娠晚期羊水分析的目的)。A 此時子宮已升出骨盆腔，超音波導引下無需事先脹滿膀胱,正確。B 協助平躺並鋪設無菌區域以維持無菌,正確。C 因僅細針穿刺，通常無需麻醉即可抽取羊水,正確。故僅 D 錯誤。","羊膜穿刺依孕期目的不同:第二孕期中期(15–20 週)主要做染色體核型與遺傳疾病診斷,是高齡孕婦(≥34–35 歲)或篩檢異常者的確診工具;妊娠晚期則可分析羊水評估胎兒肺成熟度(如卵磷脂\u002F鞘磷脂比值 L\u002FS ratio≥2)。術前超音波定位胎盤與胎兒,全程無菌、細針抽取,術後衛教觀察出血、漏水、發燒、宮縮等併發症。記憶「早期查染色體、晚期查肺成熟」。可連結絨毛膜取樣(CVS)與非侵入性產前檢測(NIPT)對比複習。",[24,26,29,31,33],{"term":25,"count":10},"羊膜穿刺",{"term":27,"count":28},"第二孕期染色體診斷",1,{"term":30,"count":28},"非評估胎兒成熟度",{"term":32,"count":28},"超音波導引無需脹膀胱",{"term":34,"count":28},"無菌技術",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-006","葉女士，懷孕 33 週，在正常體重增加與胎兒發展的情況下，逐漸膨大的子宮會使她姿勢發生下列何種改變？",6,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-3-maternal-pediatric-022","丁女士，妊娠 12 週，接受第二次產前檢查，發現其紅血球平均容積（MCV）為 60 fl。針對丁女士的狀況，下列何者為最優先處置？",22,3,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-maternal-pediatric-016","下列何種情況適合裝置子宮內避孕器？",16,113,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-114-3-maternal-pediatric-014","有關母乳哺育，下列敘述何者不適當？",14,114,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-106-1-maternal-pediatric-068","有關苯酮尿症（Phenylketonuria）病童飲食指導之敘述，下列何者錯誤？",68,106,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-107-2-maternal-pediatric-022","有關結紮手術之敘述，下列何者正確？",107,"2026-09-04",1788510748007]