[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-015","nurse-112-2-maternal-pediatric-015",112,2,15,"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？",{"A":14,"B":15,"C":16,"D":17},"現血量會越來越多","宮縮間歇時，常閉著眼睛休息","對於能否撐過生產，越來越沒信心","非常希望獨處，大叫「請你們離開！」","D",null,[],"本題考點為第一產程過渡期（transition phase，子宮頸口 8～10 公分）的身心反應。考點在於辨識此期典型行為：產婦精疲力竭、宮縮間歇時常閉眼休息、易失去信心且情緒煩躁，並渴望有人陪伴支持。故錯誤敘述為 D，過渡期產婦通常不願獨處、反而希望有人在旁，「請你們離開」的強烈拒絕陪伴屬最不可能出現。A 現血量隨子宮頸擴張進展而增多屬正常；B 宮縮間歇閉眼休息符合此期疲憊表現；C 對能否撐過生產失去信心是過渡期常見的自我懷疑。","過渡期是第一產程最短卻最劇烈的階段，宮縮強、間歇短，產婦常出現噁心、發抖、煩躁、易怒與強烈想放棄的情緒。此期護理重點在持續陪伴與正向鼓勵，因此「要求旁人離開、渴望獨處」與臨床觀察相反。對比記憶：潛伏期健談放鬆、活動期專注內斂、過渡期煩躁但仍需陪伴。",[24,27,30,32],{"term":25,"count":26},"第一產程過渡期",4,{"term":28,"count":29},"現血量 (bloody show)",1,{"term":31,"count":29},"產程心理反應",{"term":33,"count":29},"子宮頸擴張 8 公分",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-016","有關初產婦與經產婦於分娩過程的常見變化，下列敘述何者正確？",16,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-maternal-pediatric-032","小玲，2 歲 6 個月，因泌尿道感染住院，有關減輕小玲住院壓力的護理措施，下列敘述何者錯誤？",32,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-maternal-pediatric-026","1 歲 3 個月的幼兒通常可通過動作發展之項目，下列敘述何者較適當？",26,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-maternal-pediatric-024","有關子宮頸抹片檢查，下列敘述何者錯誤？",24,114,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-106-1-maternal-pediatric-078","小敏，出生 6 天，罹患脊髓脊髓膜膨出，有關其手術後的護理措施，下列敘述何者錯誤？",78,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-maternal-pediatric-032","有關硫酸鎂（MgSO 4 ）在安胎使用的敘述，下列何者錯誤？",107,"2026-09-04",1788510748114]