[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-007":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-113-2-產兒科護理學-007","nurse-113-2-maternal-pediatric-007",113,2,7,"李女士，G 1 P 0 ，子宮收縮每 5 分鐘一次，每次持續 40～60 秒，收縮強度為中度，子宮頸口開 6 公分、變薄程度 60%、先露部位 0。下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"至少每 30 分鐘測一次胎心率及宮縮情況","注意待產婦解尿的時間，每 2 小時評估膀胱排空情形","擔心隨時生產，所以應禁止待產婦下床","教導呼吸法協助減輕待產疼痛","C",null,[],"本題考點在於產程活動期（子宮頸口開 6 公分、中度規律收縮）的護理措施適當性。本題為反向題，錯誤敘述為 C：只要無胎位不正、破水後胎頭已固定或其他禁忌，待產婦可下床活動，走動有助產程進展與疼痛緩解，「禁止下床」不當，故選 C。A 至少每 30 分鐘評估胎心率與宮縮以監測胎兒安危、B 每 2 小時評估膀胱排空避免膨脹阻礙產程、D 教導呼吸法減輕疼痛，皆為活動期恰當措施，正確。","第一產程活動期（約 6 cm 起進展加速）鼓勵姿勢改變與走動（若無禁忌）以利胎頭下降。膀胱膨脹會阻礙先露下降並增產後出血風險，故定時排空。胎心監測頻率隨產程進展加密（活動期約每 30 分、第二產程更頻）。護理原則是促進而非限制活動，把『擔心』變成合理監測，而非一律臥床。",[24,27,30,32],{"term":25,"count":26},"第一產程活動期",3,{"term":28,"count":29},"下床活動促進產程",1,{"term":31,"count":29},"膀胱排空",{"term":33,"count":29},"胎心率監測頻率",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-008","吳女士，G 1 P 0 ，懷孕 38 週，主述：「下面濕濕的，不知道是不是破水了？」。下列何種檢測可以確認破水？",8,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-maternal-pediatric-004","懷孕32週婦女，當有人經過其身旁時，會不由自主用雙手護住肚子，下列何者最能形容其孕期的母性任務行為？",4,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-2-maternal-pediatric-048","黃小妹，6 個月，輪狀病毒（rotavirus）感染引起急性腸胃炎（acute gastroenteritis），體重由住院前 8 公斤減為現在 7.4 公斤。下列護理處置何者正確？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-maternal-pediatric-046","有關兒童肌肉注射部位的考量，下列敘述何者正確？",46,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-010","有關第一孕期唐氏症篩檢的敘述，下列何者錯誤？",10,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-044","小妮及小美為幼稚園的玩伴，坐在地板互借遊戲器材或玩具一起玩，她們此時的遊戲特徵為何？",44,108,"2026-09-04",1788510755367]