[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-011":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-011","nurse-113-2-maternal-pediatric-011",113,2,11,"原本對生產計畫侃侃而談的待產婦女突然對護理師說：「我想解大便，我如果去廁所會不會把孩子生在馬桶裡？」，下列護理師的回應何者較適宜？",{"A":14,"B":15,"C":16,"D":17},"「我想應該是要生了，我趕緊通知醫師處理。」","「你有便意感顯示胎頭在往下降，產程有進展了喔！我來幫妳內診評估好嗎？」","「不用緊張，妳這些擔心都不是真的，不會生在馬桶裡的！」","「你進來待產時已經有灌腸過，去上廁所應該不會有大便才對。」","B",null,[],"本題考點在於待產婦出現便意感時的治療性溝通與適切評估。第二產程接近時，胎頭下降壓迫直腸會產生強烈便意，護理師應以此徵象說明產程進展並進行內診評估以確認產程，選項 B 兼具正向說明與適當評估，故為最適宜回應。A 未評估即斷定要生並通知醫師，過度反應；C 直接否定產婦的擔心、缺乏同理且未評估；D 以「灌腸過不會有大便」搪塞，忽略便意其實是胎頭下降的重要徵象，皆不適當。","治療性溝通原則：先接納感受、給予正確訊息、再以評估確認，避免否定（『你想太多』）或空泛保證。便意（urge to bear down\u002F直腸壓迫感）是先露下降至骨盆底的臨床線索，提示可能進入第二產程，須內診確認子宮頸是否全開再指導用力，過早用力恐致子宮頸水腫。回應要同時安撫與行動。",[24,27,29,32],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":10},"第二產程徵象",{"term":30,"count":31},"便意與胎頭下降",1,{"term":33,"count":31},"內診評估產程",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-012","下列何者為阻礙產後婦女子宮復舊的因素？①產程延長 ②正常羊水量之單胞胎 ③漲滿的膀胱 ④純母乳親餵",12,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-maternal-pediatric-008","有關吸入性麻醉藥（inhalation anesthesia），下列敘述何者錯誤？",8,114,{"webId":45,"stem":46,"number":10,"year":43,"session":47},"nurse-114-3-maternal-pediatric-002","提供新住民婦女產科照護時，下列敘述何者最適當？",3,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-106-1-maternal-pediatric-050","小強，15 個月大，被診斷有輕微的腦性麻痺（cerebral palsy）。小強爸爸是個食品公司全職行銷人員，媽媽則在電腦公司上班，家中有請外傭照顧小強，外傭每週一次帶小強去醫院做復健，下列何者為主要的護理措施？",50,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-014","楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",14,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-048","有關胰島素注射的敘述，下列何者錯誤？",48,108,"2026-09-04",1788510755400]