[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-014","nurse-112-2-maternal-pediatric-014",112,2,14,"王女士，懷孕 41 週，觀察其待產期間的胎心率變化。下列何種現象，需要特別處理？",{"A":14,"B":15,"C":16,"D":17},"潛伏期時，不論有無宮縮，都維持在 128～148 bpm","活動期時，10 分鐘內，不論有無宮縮，最高為 140 bpm，最低為 136 bpm","宮縮開始，加速最高至 162 bpm，宮縮結束後回到 124 bpm","產檯上用力期間，逐漸減慢到最低至 110 bpm，宮縮結束後回到 138 bpm","B",null,[],"本題考點在辨識異常的胎心率型態。依胎兒監測判讀標準，正常基準線為 110～160 bpm、且應具備每分鐘 6～25 bpm 的基準變異性；變異性代表胎兒自主神經調控完整。選項 B 在活動期十分鐘內最高 140、最低 136，波動僅約 4 bpm，屬變異性過小（minimal variability），常反映胎兒缺氧或中樞抑制，需特別處理，故選 B。A 維持在 128～148 bpm 屬正常基準且有足夠變異；C 宮縮起始加速至 162、後回到 124 是良性的加速反應；D 用力期減慢至 110 隨宮縮結束回升 138，符合早期減速的良性型態。","變異性是判讀 FHR 最關鍵的指標，優先於加速或減速。缺乏變異性搭配晚期減速屬 Category III，提示胎兒酸中毒風險。記憶法：先看基準線（110～160）→ 再看變異性（6～25 為正常）→ 最後看週期性變化（加速好、早期減速良性、晚期與變異減速須警覺）。本題陷阱在於 B 的數字都落在正常範圍內，考生易忽略「上下只差 4 bpm」代表變異性喪失。",[24,26,29,31],{"term":25,"count":10},"早期減速",{"term":27,"count":28},"胎心率基準變異性",1,{"term":30,"count":28},"FHR 正常基準線 110~160 bpm",{"term":32,"count":28},"minimal variability",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-015","高女士，G 2 P 0 ，懷孕 38 週，因規則陣痛且自然破水而入院待產。待產期間沒有接受硬脊膜外麻醉，已入院待產 13 小時，目前子宮收縮每 2～3 分鐘一次，持續 50 秒，子宮頸口擴張 8 公分，胎兒高度 −1。請問，高女士此時最不可能出現下列何種徵象或行為反應？",15,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-031","有關病童使用 Fentanyl 貼片的敘述，下列護理指導何者錯誤？",31,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-025","劉女士卵巢癌分期 IIIC，本週接受減積手術，劉女士表示自己不再是完整的女人也擔心影響夫妻間的性生活，下列護理師之回應何者較不恰當？",25,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-023","產婦產後立即性大出血，必須嚴密監測下列何項情況的發生？",23,114,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-106-1-maternal-pediatric-077","小華，7 歲，搭乘母親的摩托車上學途中，被轎車撞傷，頭部嚴重撞傷，轉入兒科加護病房，現昏迷指數 3 分，給予疼痛刺激時，手臂和腳均呈僵直和內轉的姿勢，有關這些症狀及受傷部位的描述，下列何者正確？",77,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-031","有關子宮外孕之敘述，下列何者錯誤？",107,"2026-09-04",1788510748097]