[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-產兒科護理學-023","nurse-113-1-maternal-pediatric-023",113,1,23,"李女士以oxytocin 進行引產，胎心音出現變異性減速，下列處置何者最適當？",{"A":14,"B":15,"C":16,"D":17},"提高oxytocin滴速","降低oxytocin滴速","維持原來oxytocin滴速","停止oxytocin的滴注","D",null,[],"本題考點在於催產素（oxytocin）引產中出現變異性減速時的正確處置。依胎心監測判讀，變異性減速多因臍帶受壓所致，且引產中若併有胎心異常，須立即減少或去除子宮過度刺激的來源。依此，最適當處置為 D「停止 oxytocin 滴注」，以解除子宮過度收縮、恢復胎盤與臍帶血流，屬子宮內復甦（intrauterine resuscitation）的第一步。A「提高滴速」會加重子宮收縮與胎兒缺氧，絕對錯誤。B「降低滴速」雖方向正確，但面對已出現胎心減速，指引作法是先停藥觀察，較單純降速更積極安全。C「維持原滴速」忽視胎心異常訊號，亦不當。故正解為 D。","臨床延伸：催產素引產最大風險是子宮過度刺激（tachysystole），造成胎盤灌流間歇不足與胎兒缺氧。出現不安心胎心圖（如變異性減速、晚期減速）時，子宮內復甦步驟通常為——停止催產素、改左側臥、給氧、靜脈輸液擴容，必要時給子宮鬆弛劑（如 terbutaline）並通知醫師評估是否緊急生產。變異性減速形態多變、與宮縮無固定關係，典型反映臍帶受壓；晚期減速則反映子宮胎盤功能不全。停催產素是可迅速執行且最直接移除病因的關鍵動作。",[24,26,28,30],{"term":25,"count":10},"催產素oxytocin引產",{"term":27,"count":10},"變異性減速與臍帶受壓",{"term":29,"count":10},"子宮過度刺激",{"term":31,"count":10},"子宮內復甦停藥優先",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-024","有關逆行性射精之敘述，下列何者錯誤？",24,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-020","下列何種情況易導致待產婦女發生子宮內翻（Uterine Inversion）？①娩出胎盤時過度牽引臍帶 ②過早注射 Methergin ③在子宮底施加壓力（fundal pressure） ④胎盤早期剝離",20,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-014","有關產婦執行凱格爾氏運動（Kegel’s exercise）的護理指導，下列何者錯誤？",14,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-012","蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",12,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-056","臺灣少子化問題日趨嚴重，因此提升出生率及降低嬰兒死亡率為政府的重要目標，下列那項措施無助於達到上述目標？",56,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-010","李女士在第一產程中破水，下列何者為最優先的措施？",10,108,"2026-09-04",1788510750839]