[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":25},"nurse-114-1-產兒科護理學-021","nurse-114-1-maternal-pediatric-021",114,1,21,"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？",{"A":14,"B":15,"C":16,"D":17},"低張性子宮收縮","早期破水","子宮破裂","羊水栓塞","C",null,[],"本題考點在於待產急症的鑑別。依子宮破裂的典型表現，可出現突發撕裂性劇痛、原本的宮縮突然停止（測不到宮縮）、胎心音消失或劇降，且因胎兒可能被擠入腹腔而腹部出現異常凹陷或形狀改變；本例三者俱全，最符合子宮破裂，選 C。A 低張性子宮收縮為收縮無力、疼痛輕微，不會有撕裂痛與腹部凹陷；B 早期破水以陰道流液為主，非撕裂痛；D 羊水栓塞以突發呼吸窘迫、低血壓、凝血功能異常為主，臨床圖像不同。故選 C。","子宮破裂為產科急症，好發於前次剖腹產瘢痕、催產素過度刺激、多產、外傷。典型三徵：撕裂性腹痛、宮縮突停、胎心異常，並可觸及胎兒部位於腹壁下、母體出現出血性休克徵象，屬須緊急剖腹與復甦的情況。與羊水栓塞（以心肺衰竭與 DIC 為主）為常見鑑別對象。",[24,26,28,30],{"term":16,"count":25},2,{"term":27,"count":10},"撕裂性疼痛",{"term":29,"count":10},"宮縮停止",{"term":31,"count":10},"產科急症",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-maternal-pediatric-022","有關產後血栓性靜脈炎之敘述，下列何者正確？",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-maternal-pediatric-018","游女士，G 1 P 0 ，懷孕 41 週，故至醫院進行催生，子宮頸未開，最常給予引發子宮收縮的藥物為下列何者？",18,3,{"webId":43,"stem":44,"number":45,"year":46,"session":25},"nurse-115-2-maternal-pediatric-012","自然產後 4 小時，協助個案下床解尿後，觸診子宮為堅硬狀，子宮底與肚臍平並且置中。觀察產後棉片每 20 分鐘就濕透一片，並不斷流出鮮紅色物，當時血壓 90\u002F56 mmHg。下列敘述何者最適當？",12,115,{"webId":48,"stem":49,"number":50,"year":51,"session":25},"nurse-106-2-maternal-pediatric-080","雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",80,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-1-maternal-pediatric-044","有關腸病毒傳染途徑的敘述，下列何者錯誤？",44,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-1-maternal-pediatric-078","有關隱睪症（cryptorchidism），下列敘述何者錯誤？",78,109,"2026-09-04",1788510757817]