[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-022":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-022","nurse-113-3-maternal-pediatric-022",113,3,22,"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",{"A":14,"B":15,"C":16,"D":17},"①③","②③","②④","①④","D",null,[],"本題考點在於肩難產的正確處置手法。①教導產婦快速屈曲大腿貼近腹部即 McRoberts 手法,可張開骨盆出口、鬆動嵌住的前肩;④持續注意胎心音以監測胎兒狀況,兩者皆宜,故選 D。②於子宮底施壓會使前肩更嵌入恥骨聯合、屬禁忌;③加強子宮收縮藥劑量無助於解除肩難產反增風險,故含②③的選項皆錯誤。","肩難產處置口訣 HELPERR:求援、評估會陰切開、抬腿(McRoberts)、恥骨上加壓(非子宮底)、旋轉手法、娩出後臂、翻身四肢著地。關鍵是恥骨『上』壓而非宮底壓,方向須清楚區分。",[24,27,30,32],{"term":25,"count":26},"肩難產",2,{"term":28,"count":29},"McRoberts 手法",1,{"term":31,"count":29},"恥骨上加壓",{"term":33,"count":29},"HELPERR",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-023","重度子癇前症孕婦之飲食指導，下列建議何者最適當？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-019","下列那些新生兒反射在長大後不會消失，持續一生都存在？①眨眼反射（blinking reflex） ②吸吮反射（sucking reflex） ③吞嚥反射（swallowing reflex） ④巴賓斯基反射（Babinski reflex） ⑤作嘔反射（gag reflex） ⑥擁抱反射（moro reflex）",19,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-maternal-pediatric-013","蘇女士 G3P3，懷孕 34 週早期破水緊急剖腹生產，產後第 9 天在家來電主訴：「擠奶 30 分鐘後，身體移動時陰道感覺有東西流出，發現有如 50 元硬幣大小的血塊（如圖示），廁所途中仍持續出血，2 天前開始喝生化湯」，下列解釋何者最不適當？",13,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-maternal-pediatric-031","有關糖尿病婦女於妊娠期間護理措施之敘述，下列何者正確？",31,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-2-maternal-pediatric-075","有關性早熟（precocious puberty）的敘述，下列何者錯誤？",75,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-maternal-pediatric-029","剛出生的女嬰出現假性月經與母親那一個荷爾蒙中斷有關？",29,109,"2026-09-04",1788510753161]