[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-3-產兒科護理學-009","nurse-113-3-maternal-pediatric-009",113,3,9,"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？",{"A":14,"B":15,"C":16,"D":17},"吹蠟燭呼吸法","屏氣 10 秒向下用力","開聲門用力","緩慢哈氣呼吸","B",null,[],"本題考點在於第二產程呼吸型式對會陰保護的影響。屏氣 10 秒的閉聲門用力(Valsalva)會使腹內壓驟升、胎頭快速衝出,增加會陰及產道撕裂傷風險,故 B 最不適當。A 吹蠟燭呼吸與 D 緩慢哈氣可在胎頭著冠時抑制向下用力的衝動、讓會陰緩慢伸展;C 開聲門用力(哈氣式用力)較 Valsalva 溫和、胎頭娩出速度可控,均有助於減少撕裂,因此為適當技巧。","閉聲門用力使胸腔內壓上升、靜脈回流減少,除增加撕裂風險外亦可能造成胎兒短暫缺氧;現行溫和生產鼓勵開聲門、隨宮縮自發用力,並在著冠時改哈氣以控制娩出速度。",[24,27,29,30],{"term":25,"count":26},"第二產程呼吸",1,{"term":28,"count":26},"Valsalva 閉聲門用力",{"term":16,"count":26},{"term":31,"count":26},"會陰撕裂預防",[33,37,43,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-3-maternal-pediatric-010","徐女士 30 歲，G 2 P 1 ，懷孕 35 週。因在家感覺子宮規則收縮疼痛，故入院。檢查發現每隔 10 分鐘宮縮一次，持續 30 秒，強度 40 mmHg，內診子宮頸口開 4 公分，70%變薄，胎位為臀位，主訴有很多水從陰道流出。護理師最優先的照護措施為下列何者？",10,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-114-2-maternal-pediatric-006","護理師為 32 週的李女士執行無壓力試驗（Non-stress test, NST），結果為 30 分鐘內有 5 次以上胎動，胎心率基準線由 130 bpm 上升至 150 bpm，伴隨每次胎動，胎心率增加 20 次，且持續 20 秒以上，下列何者為其判讀結果？",6,114,2,{"webId":44,"stem":45,"number":46,"year":41,"session":10},"nurse-114-3-maternal-pediatric-050","小玉，1 歲 6 個月，罹患熱性痙攣，住院中突然痙攣發作，下列護理措施何者最適當？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":42},"nurse-106-2-maternal-pediatric-018","李女士 G 3 P 0 ，已入院待產 12 小時。她說：「我好想用力哦！」，此時護理師最佳的評估是下列何者？",18,106,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-107-2-maternal-pediatric-062","兒童在瀕死過程中，出現呼吸逐漸由深變淺時，下列護理措施何者正確？",62,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-1-maternal-pediatric-016","李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",16,109,"2026-09-04",1788510753024]