[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-021":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":10},"nurse-113-3-產兒科護理學-021","nurse-113-3-maternal-pediatric-021",113,3,21,"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？",{"A":14,"B":15,"C":16,"D":17},"將脫出的臍帶再推回子宮內","使用無菌生理食鹽水紗布覆蓋","若子宮頸尚未完全擴張，緊急剖腹生產","戴無菌手套從陰道將先露部位往上頂","A",null,[],"本題考點在於臍帶脫垂的緊急處置原則:核心是解除先露部對臍帶的壓迫並儘速娩出,絕不可將臍帶推回子宮。將脫出臍帶推回會刺激血管痙攣、加重胎兒缺氧,故 A 錯誤。B 以無菌濕紗布覆蓋外露臍帶可防乾燥與痙攣;C 子宮頸未全開時應緊急剖腹產娩出胎兒;D 戴無菌手套經陰道將先露部往上頂以減壓,三者皆為正確處置。","臍帶脫垂為產科急症,黃金原則是抬高母體臀部(如膝胸臥或垂頭仰臥)、以手托高先露部並持續至剖腹產。推回臍帶會使血流中斷惡化,任何操作皆以維持臍帶血流為目標。",[24,26,29,32],{"term":25,"count":10},"臍帶脫垂",{"term":27,"count":28},"膝胸臥位",2,{"term":30,"count":31},"先露部減壓",1,{"term":33,"count":31},"緊急剖腹產",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-022","待產婦女於生產過程中發生肩難產（shoulder dystocia）時，下列處置何者為宜？①教導待產婦快速屈曲大腿靠向腹部 ②於子宮底施壓 ③加強子宮收縮藥劑量 ④注意胎心音變化",22,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-114-2-maternal-pediatric-018","有關新生兒頭部評估，下列何者正確？",18,114,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-115-1-maternal-pediatric-012","陳女士，28 歲，G1P1。採用剖腹產分娩並表示渴望與新生兒能有共處時刻，下列處置何者錯誤？",12,115,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-106-2-maternal-pediatric-030","有關新生兒黃疸的敘述，下列何者正確？",30,106,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-2-maternal-pediatric-074","有關先天性甲狀腺功能低下嬰幼兒之症狀處理，下列何者錯誤？",74,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-109-1-maternal-pediatric-028","下列何者為新生兒黃疸照光治療的原理？",28,109,"2026-09-04",1788510753156]