[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-010":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":10},"nurse-113-3-產兒科護理學-010","nurse-113-3-maternal-pediatric-010",113,3,10,"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？",{"A":14,"B":15,"C":16,"D":17},"立刻通知超音波室","給予靜脈輸液","監測胎兒心跳速率","準備進行催生","C",null,[],"本題考點在於早期破水合併臀位待產的照護優先順序。個案 35 週、臀位、主訴大量陰道流水,提示胎膜破裂,而臀位加破水最危險的併發症是臍帶脫垂,可迅速造成胎兒缺氧,因此最優先為 C 監測胎兒心跳速率以即時偵測窘迫。B 靜脈注射為支持措施非首要;A 通知超音波室、D 準備催生皆非當下最急迫,且催生於臀位早產並不適當,故均不優先。","臍帶脫垂好發於先露部無法緊貼子宮頸的情況,如臀位、胎頭未固定、羊水過多與早期破水。第一時間以胎心監測辨識臍帶受壓的變異性減速或延長減速,才能及時處置。",[24,26,29,32],{"term":25,"count":10},"臍帶脫垂",{"term":27,"count":28},"早期破水 PROM",2,{"term":30,"count":31},"臀位",1,{"term":33,"count":31},"胎心監測優先",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-011","有關治療子宮內膜異位症的藥物，下列何者錯誤？",11,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-114-2-maternal-pediatric-007","王女士，G 1 P 0 ，已待產 13 小時，目前子宮頸口開 8 公分，呼吸急促，每次宮縮時皆以手拍打床面，身體呈現精疲力竭、情緒失控、出汗等現象，下列護理措施何者正確？",7,114,{"webId":45,"stem":46,"number":31,"year":47,"session":31},"nurse-115-1-maternal-pediatric-001","有關我國母嬰親善醫院之認證基準，下列敘述何者錯誤？",115,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-2-maternal-pediatric-019","黃女士 G 1 P 1 ，陰道生產，第一天親子同室時，仔細的觀察新生兒並詢問其外觀特性，此時護理師的反應何者最為適當？",19,106,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-107-2-maternal-pediatric-063","有關罹患先天性梅毒的嬰兒皮膚丘疹及脫屑的護理措施，下列何者不適當？",63,107,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-109-1-maternal-pediatric-017","承上題，第二產程用力時，胎心率出現早發性減速的原因為何？",17,109,"2026-09-04",1788510753044]