[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-020":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-112-3-產兒科護理學-020","nurse-112-3-maternal-pediatric-020",112,3,20,"陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"告知產檢狀況一切正常不用擔心，一個月後再回診","具子宮頸閉鎖不全之高危險因子，建議接受子宮頸環紮術（Cervical cerclage）","具胎盤早期剝離之高危險因子，建議給口服安胎藥且返家後儘量臥床休息","具產程遲滯的危險因子，可能前胎流產沾黏導致子宮頸長度較長","B",null,[],"本題考點在於子宮頸閉鎖不全（cervical incompetence）的辨識與處置。個案前兩胎均於妊娠 16～18 週因「無痛性」破水自然流產，且本次 16 週已見子宮頸長度縮短（2.4 公分）、擴張 2 公分，符合子宮頸閉鎖不全的典型病史與表現，處置為子宮頸環紮術（Cervical cerclage），故選 B。A 忽略高危病史謂一切正常屬失職；C 誤判為胎盤早期剝離，兩者機轉不同；D 誤判為產程遲滯且推論子宮頸「較長」與實測 2.4 公分縮短矛盾，皆錯。","子宮頸閉鎖不全特徵為「中期妊娠、無痛性、進行性子宮頸擴張」導致反覆中期流產。環紮術（如 McDonald 或 Shirodkar 術式）多於妊娠 12～14 週預防性施行以加強子宮頸支撐，接近足月（約 37 週）再拆線。與胎盤早期剝離（劇痛、出血、子宮硬）在臨床表現上截然不同。",[24,27,29,32],{"term":25,"count":26},"子宮頸閉鎖不全",2,{"term":28,"count":26},"子宮頸環紮術",{"term":30,"count":31},"無痛性中期流產",1,{"term":33,"count":31},"子宮頸長度評估",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-021","有關 HELLP 症候群的敘述，下列何者正確？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"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":45,"stem":46,"number":47,"year":48,"session":31},"nurse-114-1-maternal-pediatric-011","有關生產疼痛理論與緩解措施之敘述，下列何者正確？",11,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-maternal-pediatric-009","陳女士，G 1 P 0 ，懷孕 39 週，胎位為 LOA，目前已進入第二產程，胎頭已有撥露（排臨）現象。根據分娩機轉，此時常見的胎位應為？",9,115,{"webId":55,"stem":56,"number":10,"year":57,"session":31},"nurse-107-1-maternal-pediatric-003","計算預產期的方法，下列何者正確？",107,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-108-1-maternal-pediatric-037","有關生殖器疱疹之敘述，下列何者正確？",37,108,"2026-09-04",1788510745411]