[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-017":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":26},"nurse-112-2-產兒科護理學-017","nurse-112-2-maternal-pediatric-017",112,2,17,"周女士，G 1 P 0 ，懷孕 39 週，因破水且子宮頸口開 3 公分。以臺灣目前臨床實務最常見的電子胎兒監測方式，下列護理師的說明，何者不適當？",{"A":14,"B":15,"C":16,"D":17},"「會先用手觸診腹部，找出聽取胎兒心跳最清楚的位置」","「等一下妳的腹部上會放有兩條固定帶」","「放在宮底位置的這個是感應子宮收縮壓力的傳導器」","「監測宮縮壓力及胎兒心跳的兩個傳導器都會抹上凝膠物質」","D",null,[],"本題考點為外部電子胎兒監測（EFM）兩個傳導器的使用原理。考點在於區分兩傳導器的性質：偵測胎心的超音波都卜勒傳導器需塗抹耦合凝膠以利音波傳導，而偵測宮縮的宮縮壓力計（tocotransducer）是靠機械壓力感應、不需塗凝膠。故不適當的說明為 D，宣稱兩個傳導器都抹凝膠是錯的。A 先以利奧波德手法觸診找出胎心最清楚處再放探頭，正確；B 腹部固定兩條彈性帶固定兩探頭，正確；C 放在宮底偵測宮縮壓力的傳導器，正確。","超音波都卜勒偵測胎心需液態介質耦合以減少音波在皮膚介面的反射，故需凝膠；宮縮計則是壓力位移感測，接觸凝膠反而影響壓力傳遞。臨床上宮縮計固定於宮底（宮縮位移最明顯處），胎心探頭固定於胎背方向聽診最清楚處。記憶：「聽心跳要凝膠、量宮縮靠壓力」。",[24,27,29,31],{"term":25,"count":26},"外部電子胎兒監測 (EFM)",1,{"term":28,"count":26},"超音波都卜勒傳導器",{"term":30,"count":26},"宮縮壓力計 (tocotransducer)",{"term":32,"count":26},"利奧波德手法",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-018","丁女士主訴無法忍受生產疼痛並接受 meperidine（Demerol）注射，給藥後護理師監測其呼吸速率低於每分鐘 10 次，下列何種藥物能改善此情形？",18,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-034","有關瀕死兒童家庭的照護敘述，下列何者不適當？",34,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-028","有關自閉症（autistic disorder）兒童的照護，下列敘述何者最適當？",28,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-026","有關注意力不足過動症（attention deficit hyperactivity disorder, ADHD），下列敘述何者正確？",26,114,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-1-maternal-pediatric-080","小玲，1 歲，診斷為單純性熱性痙攣（simple febrile convulsion），小玲的媽媽詢問護理師：「小玲未來是否會再發作？」有關護理師的回答，下列敘述何者較適當？",80,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-034","有關評估 32 週妊娠糖尿病孕婦過去一個月間血糖控制之成效，下列何項檢測最佳？",107,"2026-09-04",1788510748128]