[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-008":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-113-2-產兒科護理學-008","nurse-113-2-maternal-pediatric-008",113,2,8,"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？",{"A":14,"B":15,"C":16,"D":17},"避開尿或血液，以硝基試紙，檢測流出陰道的液體，試紙呈粉紅色（Nitrazine test）","避開尿或血液，以硝酸鹽試紙，檢測流出陰道的液體，試紙呈黃綠色（Nitrate water test）","檢視吳女士墊的衛生棉上，看到清澈淡黃液體並含有羊齒狀的碎片物質（Pad test）","將流出陰道的液體塗抹於玻片，使用顯微鏡有觀察到羊齒狀結晶（Fern test）","D",null,[],"本題考點在於確認胎膜早期破裂（破水）的檢查方法與判讀。將流出陰道的液體塗於玻片乾燥後，以顯微鏡觀察到羊水中鹽分結晶形成的羊齒狀（fern）圖案，即 Fern test 陽性，可確認破水，故 D 正確。A 錯在硝基（Nitrazine）試紙遇鹼性羊水應轉為藍色而非粉紅色；B 錯在「硝酸鹽試紙呈黃綠色」並非破水確認試驗；C 錯在衛生棉上見到清澈液體與碎屑僅為主觀觀察，非可靠診斷方法，故皆不選。","兩大床邊檢查記法：Nitrazine 看酸鹼——正常陰道偏酸（試紙黃\u002F橙），羊水偏鹼（pH 7.0–7.5，試紙變藍），但血液、精液、感染會偽陽性。Fern test 看結晶——羊水乾燥後 NaCl 呈羊齒葉狀，特異性較高。臨床常兩者併用，必要時加超音波看羊水量或 AmniSure 等生化標記。",[24,27,29,31],{"term":25,"count":26},"Fern test 羊齒狀結晶",1,{"term":28,"count":26},"Nitrazine 硝基試紙變藍",{"term":30,"count":26},"胎膜早期破裂",{"term":32,"count":26},"破水確認",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-009","葉女士，懷孕 39 週，因破水入院待產。護理師進行腹部觸診時，在宮底處觸摸到一個較軟，且比較不圓的胎兒部位；在恥骨聯合附近觸摸到一個較硬，似圓形的胎兒部位，接著在肚臍以下的部位聽取到清楚的胎心音。陰道內診時，摸到圓滑且硬的胎兒部位。判斷其胎產式為何？",9,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-005","懷孕28週婦女，詢問有關懷孕期自我會陰按摩方法，下列護理指導何者不適當？",5,114,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-114-2-maternal-pediatric-049","關於 β 型海洋性貧血（thalassemia）為體染色體隱性遺傳疾病，當父親及母親皆為帶因者，下一代罹患海洋性貧血的機率為何？",49,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-106-1-maternal-pediatric-047","下列為 2 歲幼兒滴耳藥的護理步驟，那一個環節出現錯誤？",47,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-maternal-pediatric-011","有關妊娠期婦女甲狀腺分泌功能變化的敘述，下列何者正確？",11,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-2-maternal-pediatric-045","小明，1 歲，罹患主動脈狹窄症（coarctation of the aorta）而入院，下列何者不是其症狀？",45,108,"2026-09-04",1788510755370]