[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-1-產兒科護理學-009","nurse-114-1-maternal-pediatric-009",114,1,9,"汪女士，生產過程未行會陰切開。胎盤娩出後，檢查發現會陰皮膚及陰道黏膜有撕裂，但未裂至肌肉層。此情況應記錄為會陰部撕裂傷幾度？",{"A":14,"B":15,"C":16,"D":17},"第一度","第二度","第三度","第四度","A",null,[],"本題考點在於會陰撕裂傷的分度依據。依會陰撕裂分級，第一度僅傷及會陰皮膚與陰道黏膜，未達肌肉層；本例皮膚及陰道黏膜撕裂但未裂至肌肉層，正符合第一度，選 A。B 第二度已傷及會陰肌肉層但未及肛門括約肌；C 第三度傷及肛門外括約肌；D 第四度更深及直腸黏膜。本例既未及肌肉，故非二至四度，選 A。","會陰撕裂四度由淺至深：一度為皮膚黏膜；二度加肌肉層（與會陰切開深度相當）；三度加肛門括約肌；四度加直腸黏膜。三、四度癒合與感染風險高、須留意日後大便失禁。記憶：一皮、二肌、三括約、四直腸。",[24,26,28,30],{"term":25,"count":10},"會陰撕裂分度",{"term":27,"count":10},"陰道黏膜",{"term":29,"count":10},"會陰肌肉層",{"term":31,"count":10},"肛門括約肌",[33,37,42,47,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-maternal-pediatric-010","林女士，G 1P 0，懷孕41週，因自然破水及規則陣痛到院檢查，陰道內診子宮頸已擴張2公分，宮縮時疼痛分數為2分（0-10分量表）故協助辦理住院待產。林女士此時最可能出現下列何種行為反應？",10,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-maternal-pediatric-006","有關無壓力試驗（NST），下列敘述何者正確？①觀察胎兒心跳型態的變化 ②至少要記錄 60 分鐘 ③建議第三孕期檢測 ④胎心率加速表示有缺氧情形",6,3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-115-1-maternal-pediatric-050","有關腦性麻痺兒童之敘述，下列何者錯誤？",50,115,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-106-2-maternal-pediatric-068","有關兒童感染人類免疫缺乏病毒（HIV）的途徑，下列何者錯誤？",68,106,2,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-032","有關前置胎盤之敘述，下列何者正確？",32,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-maternal-pediatric-066","小瑋，6 歲，罹患膽道閉鎖，多年來等不到肝臟移植，面臨死亡，父母在與小瑋討論死亡時，下列敘述何者錯誤？",66,109,"2026-09-04",1788510757710]