[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-114-1-產兒科護理學-020","nurse-114-1-maternal-pediatric-020",114,1,20,"王女士使用催產素引產，胎兒監測器呈現宮縮頻率及持續時間為 60\" \u002F1'30\" -2'，宮縮時壓力100 mmHg，子宮頸口一直停留在4公分，胎心音為135～150 bpm，下列何者為最優先處置？",{"A":14,"B":15,"C":16,"D":17},"鼓勵待產婦下床走動","停止催產素注射","採右側臥姿勢","準備緊急剖腹產","B",null,[],"本題考點在於催產素引產出現子宮過度刺激時的優先處置。依子宮收縮參數判讀，宮縮間隔過密（約每 1.5～2 分一次）、持續達 60 秒、壓力高達 100 mmHg，屬子宮過度刺激（高張性收縮），可致胎盤灌流下降與胎兒窘迫；且子宮頸口停滯於 4 公分。最優先且直接移除病因的處置是停止催產素注射，選 B。A 鼓勵下床走動無法解除過度刺激；C 側臥可作為輔助但非優先；D 目前胎心音 135～150 bpm 尚屬正常、產程停滯需先解除過度刺激再評估，尚未到剖腹產的時機，故非最優先。","催產素過度刺激處置優先序：先停催產素（移除病因）、給氧、改變體位（左側臥）增加胎盤灌流、必要時給子宮鬆弛劑，並持續監測胎心。子宮收縮壓力正常上限約 50～75 mmHg、間隔應大於等於 2 分且有休息期；壓力破百、間隔過短即屬過度刺激。記憶：藥物引起的問題，先關藥。",[24,27,29,31],{"term":25,"count":26},"胎盤灌流",7,{"term":28,"count":10},"催產素過度刺激",{"term":30,"count":10},"高張性子宮收縮",{"term":32,"count":10},"引產處置優先序",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-021","林女士待產時突然主訴腹部呈撕裂性疼痛，護理師評估腹部有一明顯凹陷，無法測到宮縮和胎心音，此情境最可能為？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-017","有關產褥期女性生殖系統復舊，下列敘述何者正確？①子宮頸外口可完全恢復原本橢圓形樣貌 ②陰道皺褶約產後 3 週再出現 ③沒有哺乳婦女排卵和月經重現約產後 6～8 週 ④胎盤剝離部位之復舊於產後 3 週內完成",17,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-maternal-pediatric-011","有關第三產程的護理，下列何者錯誤？",11,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-106-2-maternal-pediatric-079","小玲，出生 3 天，診斷為脊髓之脊髓膜膨出且合併有水腦症，有關其手術前的護理措施，下列敘述何者錯誤？",79,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-maternal-pediatric-043","林小弟，妊娠週數 37 週又 3 天，出生體重 2950 公克，採純母乳哺餵，今體重 2620 公克，減少出生體重的 10%以上，給予檢測血糖為 33 mg\u002FdL，有關低血糖可能造成的影響及處理，下列何者錯誤？",43,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-maternal-pediatric-077","王小妹，7 歲，被診斷泌尿道感染（Urinary Tract Infection），出院時醫囑開立 7 天份的口服抗生素 amoxicilline，下列護理指導何者適當？",77,109,"2026-09-04",1788510757795]