[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-034":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-034","nurse-112-2-maternal-pediatric-034",112,2,34,"32 歲初產婦身高 160 公分，中午 12：00 入院時子宮頸變薄 50%，擴張為 4 公分，待產期間僅給予 Ringer 輸液 keep line，但子宮收縮頻率自然變快且強度也增加，10 分鐘內平均有 5 次以上收縮，分娩進展快速於下午 14：50 娩出 1 名男嬰，出生體重 2,700 公克。有關此位初產婦分娩特性的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"急產，產後應評估子宮頸及產道是否有撕裂傷","分娩快速，胎兒易出現感染及失溫的危險","產程延滯，是醫療處置不當的結果","應注意胎兒是否因腦缺氧，刺激交感神經引發心跳加速","A",null,[],"本題考點為急產（precipitous labor）的辨識與產後評估重點。此初產婦子宮收縮自然轉為又快又強、十分鐘內達 5 次以上，並於入院約三小時內快速娩出，符合急產特徵。考點在於急產因產程過快、產道未充分擴張，容易造成子宮頸、陰道與會陰撕裂傷，故產後應優先評估產道有無撕裂傷，選 A。B 過度渲染胎兒感染與失溫非急產核心；C 本題屬產程過快而非產程延滯，且並非醫療處置不當所致；D 心跳加速的推論與本題娩出順利的情境不符，屬無依據的臆測。","急產定義為從規則宮縮到胎兒娩出少於三小時。產程過速使軟產道來不及擴張，母體風險包括產道撕裂傷、子宮破裂、產後出血與羊水栓塞；胎兒則可能因快速下降造成頭部創傷或缺氧。故產後評估首重產道完整性與出血量。記憶：急產「快而猛」，母親最怕撕裂與出血。",[24,27,29,31],{"term":25,"count":26},"急產 (precipitous labor)",1,{"term":28,"count":26},"產程時間 \u003C 3 小時",{"term":30,"count":26},"產道撕裂傷評估",{"term":32,"count":26},"產後出血風險",[34,38,42,46,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-035","承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",35,{"webId":39,"stem":40,"number":26,"year":41,"session":26},"nurse-113-1-maternal-pediatric-001","有關孕產婦死亡率之敘述，下列何者正確？",113,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-113-2-maternal-pediatric-045","有關病童放置鼻胃管之護理照護，下列敘述何者較適當？",45,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-114-3-maternal-pediatric-043","吳小妹，2 個月大，診斷為先天性甲狀腺功能低下（congenital hypothyroidism），下列護理指導何者最適當？",43,114,3,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-maternal-pediatric-017","胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",17,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-maternal-pediatric-051","10 歲的阿偉出現發燒、頭痛、頸背僵硬等症狀，經評估有腦膜炎徵象，下列何者不是腦膜炎的徵象？",51,107,"2026-09-04",1788510748267]