[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-114-2-產兒科護理學-006","nurse-114-2-maternal-pediatric-006",114,2,6,"護理師為 32 週的李女士執行無壓力試驗（Non-stress test, NST），結果為 30 分鐘內有 5 次以上胎動，胎心率基準線由 130 bpm 上升至 150 bpm，伴隨每次胎動，胎心率增加 20 次，且持續 20 秒以上，下列何者為其判讀結果？",{"A":14,"B":15,"C":16,"D":17},"反應型；正常","不反應型；不正常","陽性；正常","陰性；不正常","A",null,[],"本題考點在於無壓力試驗(NST)反應型的判讀標準。依 NST 判讀準則,20 分鐘內出現至少 2 次胎動,且每次胎動伴隨胎心率上升至少 15 bpm、持續至少 15 秒,即為反應型(reactive),代表胎兒中樞神經與心臟自主調節良好、氧合正常。李女士 30 分鐘內有 5 次以上胎動、胎心率隨胎動上升 20 次並持續 20 秒以上,完全符合甚至超過標準,故判讀為 A 反應型、正常。B 不反應型指未達上述加速標準,與此不符。C、D 的陽性\u002F陰性用詞屬於「催產素激惹試驗(OCT\u002FCST)」的判讀語彙,並非 NST 的判讀分類,故不適用。","NST 看的是胎動時胎心加速(acceleration),反映自律神經完整與胎兒未缺氧,是產前胎兒監測第一線。用詞要分清:NST 判『反應\u002F不反應型』;CST\u002FOCT 才判『陽性\u002F陰性』,陽性代表出現晚期減速屬不良。32 週前胎兒神經尚未成熟,加速標準可放寬為升高 10 bpm、持續 10 秒。",[24,27,30,32],{"term":25,"count":26},"胎心率加速",5,{"term":28,"count":29},"無壓力試驗 NST",3,{"term":31,"count":29},"反應型判讀",{"term":33,"count":34},"催產素激惹試驗",1,[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-maternal-pediatric-007","王女士，G 1 P 0 ，已待產 13 小時，目前子宮頸口開 8 公分，呼吸急促，每次宮縮時皆以手拍打床面，身體呈現精疲力竭、情緒失控、出汗等現象，下列護理措施何者正確？",7,{"webId":41,"stem":42,"number":29,"year":43,"session":34},"nurse-115-1-maternal-pediatric-003","張女士，懷孕期頻繁噁心嘔吐的情況很不舒服，下列護理指導何者較不合適？",115,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-115-2-maternal-pediatric-047","小志，6 個月，男嬰，半夜突然大哭，雙腳屈膝、臉色蒼白、嘔吐物中含膽汁，數分鐘後緩解，20 分鐘後又再次出現上述症狀。檢查尿布，發現大便中含血與黏膜。根據上述症狀，小志可能有什麼健康問題？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":34},"nurse-107-1-maternal-pediatric-035","下列那些生殖道感染疾病，容易造成女性骨盆腔感染？①披衣菌感染 ②淋病 ③梅毒 ④生殖器疱疹",35,107,{"webId":54,"stem":55,"number":56,"year":57,"session":34},"nurse-108-1-maternal-pediatric-079","協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",79,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-033","有關懷孕期 TORCH 感染的項目，下列何者錯誤？",33,109,"2026-09-04",1788510759988]