[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-020","nurse-113-2-maternal-pediatric-020",113,2,20,"有關羊水栓塞（amniotic fluid embolism）之相關敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"呈現病理性收縮環","通常發生在分娩時或分娩剛結束","常發生於羊膜破水後","易出現心肺功能衰竭和休克","A",null,[],"本題考點在於羊水栓塞的病生理與臨床表現，屬反向題，須找出錯誤敘述。錯誤敘述為 A：病理性收縮環（Bandl's ring）是「阻塞性難產／子宮過度收縮」的表徵，與羊水栓塞無關，故 A 錯誤為正解。羊水栓塞是羊水及胎兒物質進入母體血循，引發過敏樣反應與瀰漫性血管內凝血（DIC）。B 正確，羊水栓塞典型發生於分娩過程中或分娩剛結束、胎盤剝離時。C 正確，破水後羊水易經子宮血管或子宮頸裂傷進入母體循環，故常見於破水後。D 正確，栓塞物阻塞肺循環與過敏反應會導致急性心肺衰竭、低血壓與休克，是主要死因。本題須區分病理性收縮環屬難產徵象、而非羊水栓塞表現。","羊水栓塞（AFE）致病機轉近年認為並非單純機械性栓塞，而是類過敏樣的「妊娠過敏樣症候群」：羊水中胎兒抗原引發母體發炎與凝血級聯，臨床三聯徵為突發低血氧、低血壓／心血管崩潰、與凝血功能障礙（DIC）。誘發因子包括急產、強烈宮縮、胎盤早期剝離、羊水過多、破水。病理性收縮環（Bandl's ring）則是子宮下段被過度拉扯形成的凹陷環，見於阻塞性難產（如頭盆不對稱），是子宮破裂的前兆，兩者機轉完全不同。記憶對比：AFE＝突發呼吸循環崩潰＋DIC；Bandl's ring＝難產子宮破裂前兆。",[24,27,29,31],{"term":25,"count":26},"羊水栓塞病生理",1,{"term":28,"count":26},"妊娠過敏樣症候群",{"term":30,"count":26},"DIC",{"term":32,"count":26},"病理性收縮環Bandl's ring",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-021","初產婦 34 歲，妊娠 38 週胎兒發育符合妊娠週數，因破水入院後 24 小時仍無宮縮，予以評估子宮頸成熟度，發現其子宮頸擴張＜1 公分，子宮頸變薄 30%，無法觸診到胎兒的先露部位，子宮頸位置在後方且堅硬。依據上述情境，若採 Bishop 計分法評估，以決定後續相關處置，下列敘述何者較適當？",21,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-017","有關預防尿布疹的措施，下列何者最適當？",17,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-011","有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",11,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-059","小華，5 歲大，疑似細菌性支氣管炎，使用脈衝式血氧分析法（Pulse Oximetry）偵測脈動血氧，下列敘述何者錯誤？",59,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-023","楊女士產後第 10 天，仍有輕微足踝水腫情形，其他的生理徵象均正常，護理師給予的指導何者最適宜？",23,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-057","小英，4 歲，因中耳炎需執行耳內給藥，給藥時，應將小英耳朵往那一方向拉？",57,108,"2026-09-04",1788510755487]