[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-020","nurse-113-3-maternal-pediatric-020",113,3,20,"下列何種情況易導致待產婦女發生子宮內翻（Uterine Inversion）？①娩出胎盤時過度牽引臍帶 ②過早注射 Methergin ③在子宮底施加壓力（fundal pressure） ④胎盤早期剝離",{"A":14,"B":15,"C":16,"D":17},"①②","①③","③④","②④","B",null,[],"本題考點在於子宮內翻的誘發因素。①娩出胎盤時過度牽引臍帶會將子宮底往外拉、③在子宮底施加壓力(fundal pressure)會把鬆弛的子宮頂出,兩者皆可能誘發子宮內翻,故選 B。②Methergin 促使子宮強力收縮、反而降低內翻風險,過早注射造成的是胎盤嵌頓而非內翻;④胎盤早期剝離與子宮內翻機轉無關,故含②④的選項皆錯誤。","子宮內翻多發生於第三產程處理不當,常合併子宮鬆弛、胎盤植入或臍帶過度牽引。正確做法是等待胎盤自然剝離徵象、以控制性臍帶牽引配合托扶子宮,而非壓迫子宮底。",[24,27,30,32],{"term":25,"count":26},"第三產程",2,{"term":28,"count":29},"子宮內翻",1,{"term":31,"count":29},"控制性臍帶牽引",{"term":33,"count":29},"子宮底施壓",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-021","林女士，入院待產，醫師內診時發現臍帶脫垂，下列處置何者錯誤？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-017","有關新生兒出生後一週內生理性體重減輕的常見原因，下列何者除外？",17,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-maternal-pediatric-011","原本對環境充滿好奇且多言的待產婦突然對護理師說：「你看我腿一直抖…怎麼會這樣…然後我開始感覺現血量變多，宮縮變密且更痛，我是不是快生了啊？」護理師可由其言語與行為判斷產程可能進入下列何階段？",11,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-maternal-pediatric-029","有關女性新生兒生殖器之成熟度評估，下列何者最成熟？",29,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-2-maternal-pediatric-073","陳小弟，8 個月大，體重 7 公斤。心臟手術後第一天，下列何者為異常表徵？",73,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-maternal-pediatric-027","糖尿病孕婦所產下體重過重的嬰兒（出生體重在 4,000 公克以上）容易在出生後發生低血糖的狀況，主要原因可能是：",27,109,"2026-09-04",1788510753144]