[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-1-產兒科護理學-010","nurse-113-1-maternal-pediatric-010",113,1,10,"胎兒為頭產式，胎頭呈部分屈曲，其最可能以下列那條徑線通過產道？",{"A":14,"B":15,"C":16,"D":17},"枕下前囟徑（SOB）","枕額徑（OF）","枕頦徑（OM）","頦下前囟徑（SMB）","B",null,[],"本題考點是胎頭『態勢(attitude)』與其通過產道之『徑線』對應關係。胎頭屈曲程度決定先露徑線長短:完全屈曲(頂骨露)以枕下前囟徑(SOB,約9.5 cm)通過,最小最有利;部分屈曲(軍人式\u002F前囟露)以枕額徑(OF,約11～12 cm)通過;部分伸仰(額露)以枕頦徑(OM,約13～13.5 cm)通過,最大最不利;完全伸仰(顏面露)以頦下前囟徑(SMB,約9.5 cm)通過。題目為頭產式且『部分屈曲』,對應枕額徑OF,故選B。A為完全屈曲、C為額露、D為顏面露,態勢與徑線均不符。","核心邏輯:頭愈屈曲、先露徑線愈短、愈好生。記憶排序由小到大:SOB(9.5,完全屈曲)≈SMB(9.5,完全伸仰)\u003COF(約11.5,部分屈曲)\u003COM(13.5,部分伸仰,最大)。臨床連結:枕後位(OP)常伴隨胎頭俯屈不良而以較大徑線下降,造成產程遲滯、背痛與生產困難,正是為何鼓勵促進俯屈與轉為枕前位。兩個9.5的極端(完全屈曲、完全伸仰)徑線雖同,但顏面露(SMB)臨床上仍屬異常胎位、生產風險高,別因徑線小而誤以為順利。",[24,26,28,30],{"term":25,"count":10},"胎頭態勢attitude",{"term":27,"count":10},"枕額徑OF",{"term":29,"count":10},"先露徑線",{"term":31,"count":10},"胎頭屈曲程度",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-011","劉女士，G1P0，子宮頸開4公分，每3分鐘宮縮一次，無胎頭骨盆不對稱（CPD），使用硬脊膜外麻醉，持續2 小時都未見胎頭下降，此時最優先之處置為何？",11,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-007","王女士，G 1 P 0 ，妊娠 39 週，因規則陣痛入院待產，護理紀錄上寫著「Effacement：50%」，其代表的意思為何？",7,3,{"webId":43,"stem":44,"number":10,"year":45,"session":46},"nurse-114-2-maternal-pediatric-001","下列何者最能反映當代育齡婦女的平均生育力？",114,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-115-2-maternal-pediatric-049","蘇小妹，3 歲，開顱手術後第 2 天，有關評估顱內壓上升的症狀，下列何項評估不適當？",49,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-maternal-pediatric-043","陳小妹，2 歲半，在保母家吃飯時，即使弄得到處亂七八糟，仍堅持要自己吃，不要給保母餵，根據艾瑞克森（Erikson）的理論，這個行為表現屬於何種發展任務？",43,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-maternal-pediatric-077","小奇，10 個月大，接受尿道下裂（Hypospadias）手術，有關手術後護理措施，下列何者錯誤？",77,108,"2026-09-04",1788510750724]