[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-112-2-產兒科護理學-006","nurse-112-2-maternal-pediatric-006",112,2,6,"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？",{"A":14,"B":15,"C":16,"D":17},"身體重心往後移增加平衡","腰、背、脊柱向前方凸起","腹部肌肉張力逐漸增加","骨盆關節活動性更加緊實","B",null,[],"本題考點在孕晚期姿勢與身體重心的代償性改變。依生物力學，懷孕 33 週時逐漸膨大的子宮使身體重心前移，孕婦為維持平衡會代償性將腰、背與脊柱向前方凸起，形成腰椎前凸(lordosis),選 B。A 說重心往後移,錯誤;子宮在前方使重心前移而非後移。C 說腹部肌肉張力增加,錯誤;腹肌反而因子宮撐大而被拉長、張力下降甚至腹直肌分離。D 說骨盆關節活動性更緊實,錯誤;鬆弛素(relaxin)使骨盆韌帶與關節鬆弛以利分娩,活動度增加而非緊實。故 B 正確。","孕期姿勢改變是身體對重心前移的力學代償:腰椎前凸增加(俗稱「孕婦挺肚」),常導致下背痛。腹直肌被撐開可能出現腹直肌分離(diastasis recti)。荷爾蒙鬆弛素使骨盆與全身韌帶鬆弛、關節活動度增加(利於產道擴張,但也增加跌倒與關節不穩風險)。護理衛教著重正確姿勢、穿低跟鞋、避免久站與突然彎腰。記憶「重心前移→腰椎前凸→下背痛」。可連結孕期常見不適(下背痛、恥骨聯合疼痛)護理複習。",[24,27,30,32,34],{"term":25,"count":26},"重心前移",3,{"term":28,"count":29},"孕晚期姿勢改變",1,{"term":31,"count":29},"腰椎前凸 lordosis",{"term":33,"count":29},"鬆弛素關節鬆弛",{"term":35,"count":29},"下背痛",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-maternal-pediatric-007","懷孕婦女抱怨陰道白色分泌物（白帶）增加、呈黏稠狀、無臭味，造成會陰部不適感，此種情況最可能原因為？",7,{"webId":42,"stem":43,"number":44,"year":9,"session":26},"nurse-112-3-maternal-pediatric-023","承上題，若配偶亦為海洋性貧血之帶因者，有關胎兒狀況之敘述，下列何者正確？",23,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-maternal-pediatric-017","陳小弟出生第二天，執行親子同室。陳小弟若出現下列何種狀況，護理師應進一步評估？",17,113,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-114-3-maternal-pediatric-015","根據魯賓（Rubin）產後母親行為態度之研究，下列敘述何者表示產後婦女正處於接受期（Taking-in Phase）？",15,114,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-106-1-maternal-pediatric-069","小樺，7 歲，最近因持續發燒、易流鼻血而求診，診斷疑似急性淋巴性白血病，下列那一項檢查結果可以確定其診斷？",69,106,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-107-2-maternal-pediatric-023","楊女士產後第 10 天，仍有輕微足踝水腫情形，其他的生理徵象均正常，護理師給予的指導何者最適宜？",107,"2026-09-04",1788510748029]