[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-009","nurse-113-2-maternal-pediatric-009",113,2,9,"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？",{"A":14,"B":15,"C":16,"D":17},"頭產式","臀產式","面產式","肩產式","A",null,[],"本題考點在於利奧波德氏腹部觸診（Leopold's maneuvers）判斷胎產式。宮底觸及較軟、較不圓的部位為胎兒臀部，恥骨聯合上方觸及較硬、圓而具浮球感的部位為胎頭，且胎心音清楚聽於臍下（近母親骨盆側），加上陰道內診摸到圓滑而硬的胎頭，綜合顯示胎頭朝下、臀部在上，屬頭產式（縱產式頭位），故選 A。B 臀產式為頭在宮底、臀在骨盆；C 面產式為顏面先露；D 肩產式為橫位肩先露，與本題觸診所見不符。","Leopold 四步記法：①宮底（軟=臀、硬圓浮球=頭）②兩側（找胎背—平滑硬面 vs 肢體—小突起）③恥骨上（先露部位，可否浮動）④先露入骨盆程度。胎心音位置隨先露：頭位在臍下，臀位在臍上或臍平。頭在下＋胎心臍下＝頭產式（最常見、最有利陰道生產）。",[24,27,28,30],{"term":25,"count":26},"Leopold 腹部觸診",1,{"term":14,"count":26},{"term":29,"count":26},"胎頭與胎臀觸感區分",{"term":31,"count":26},"胎心音位置",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-2-maternal-pediatric-010","安胎婦女使用下列何種藥物可促進胎兒肺部成熟？",10,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-114-1-maternal-pediatric-006","下列何項血液檢驗值，可以用來篩檢孕婦是否為海洋性貧血帶因者？",6,114,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-114-2-maternal-pediatric-050","張小弟，9 歲，確診為裘馨氏假肥大性肌失養症（Duchenne’s pseudohy-pertrophic muscular dystrophy），有關護理指導，下列何者最不適當？",50,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-106-1-maternal-pediatric-048","小馨，20 個月，身體檢查評估時，一般而言，下列那顆乳齒尚未長出？",48,106,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",12,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-2-maternal-pediatric-046","雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",46,108,"2026-09-04",1788510755373]