[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-008":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-113-3-產兒科護理學-008","nurse-113-3-maternal-pediatric-008",113,3,8,"潘女士，G 1 P 0 ，懷孕 41 週，因規則陣痛而入院待產，胎位為左枕前位（LOA），未接受硬脊膜外麻醉。現因宮縮強且密集，陰道內診發現子宮頸已擴張完全，胎兒高度+2。在此情境下，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"臉部顯得潮紅，陰道口看到的現血量增加","宮縮時，出現不自主向下用力的動作","胎心音在母體左邊髂骨前上棘與肚臍連線的中點附近最清楚","胎心率在宮縮開始時變慢，在宮縮高峰時達到最低點，宮縮結束又恢復正常","C",null,[],"本題考點在於左枕前位(LOA)胎心音聽診位置會隨胎頭下降而改變。頭位胎兒的胎心音在胎背側最清楚,LOA 應於母體左下腹聽得;但本題子宮頸已全開、胎兒高度達 +2,先露部已深入骨盆,聽診點應隨之下移並趨近恥骨上方中線,仍停在髂前上棘與臍連線中點的描述不符現況,故 C 不適當。A 潮紅與現血增加、B 宮縮時不自主向下用力(Ferguson 反射)均為第二產程徵象;D 描述早發性減速,因胎頭受壓所致、屬良性,皆屬適當。","胎心音位置口訣:頭位聽臍下、臀位聽臍上、枕前位在同側下腹、枕後位偏母體外側。隨產程下降,聽診點逐漸下移至恥骨聯合上方。早發性減速與宮縮同步鏡像,反映胎頭受壓,非缺氧警訊。",[24,27,29,31],{"term":25,"count":26},"胎心音聽診位置",2,{"term":28,"count":26},"胎兒高度 station",{"term":30,"count":26},"早發性減速",{"term":32,"count":33},"LOA 左枕前位",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-005","有關胎兒生長過程的敘述，下列何者正確？",5,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-3-maternal-pediatric-049","林小妹，15 個月大，疑似腦膜炎住院，有關此疾病之敘述下列何者最適當？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-maternal-pediatric-017","胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",17,106,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-107-2-maternal-pediatric-061","小美，6 個月大，由媽媽抱來接種五合一疫苗，下列護理措施何者適當？",61,107,{"webId":59,"stem":60,"number":61,"year":62,"session":33},"nurse-109-1-maternal-pediatric-015","有關待產時胎心音之監測，下列敘述何者錯誤？",15,109,"2026-09-04",1788510753020]