[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-114-2-產兒科護理學-007","nurse-114-2-maternal-pediatric-007",114,2,7,"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？",{"A":14,"B":15,"C":16,"D":17},"協助王女士開始平躺用力","以手指伸入陰道促進子宮頸擴張","請她不要拍打床面以保持情緒穩定","請王女士跟著手勢調整呼吸","D",null,[],"本題考點在於第一產程轉變期(transition phase)產婦的支持性護理。依產程進展,子宮頸開 8 公分屬轉變期,產婦常出現呼吸急促、疲憊、情緒失控與焦躁行為;此時最適當的護理是以平穩的手勢引導產婦調整呼吸節律,協助其放鬆並度過最難熬階段,故選 D。A 錯在子宮頸尚未全開(未達 10 公分)即用力,會造成子宮頸水腫與撕裂,不利產程。B 錯在以手指伸入陰道試圖促進擴張既無實證又增加感染風險,屬不當侵入。C 錯在僅制止拍打床面而否定其情緒表現,無法真正協助放鬆,應接納情緒並提供呼吸引導。比對後 D 為正向支持措施。","轉變期是第一產程最短卻最劇烈的階段(8–10 cm),產婦易有『我做不到』的挫敗感,護理著重呼吸調節、不催促、陪伴與正向鼓勵。子宮頸未全開前的過早用力(early pushing)會使子宮頸腫脹反延長產程,故需引導以喘息式呼吸抑制用力衝動,直到全開且有便意感再配合用力。",[24,27,29,31],{"term":25,"count":26},"第一產程轉變期",1,{"term":28,"count":26},"呼吸調節法",{"term":30,"count":26},"過早用力之危害",{"term":32,"count":26},"產程支持護理",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-maternal-pediatric-008","王女士，G 1 P 0 ，懷孕 39 週，胎位為 LOA，目前已進入第二產程，胎頭已著冠。此階段，護理師應將杜卜勒（Doppler）置於王女士腹部何處最有機會聽診到清楚的胎心音？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-115-1-maternal-pediatric-004","王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",4,115,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-115-2-maternal-pediatric-048","有關小兒急性腸胃炎（acute gastroenteritis）臨床表徵之敘述，下列何者錯誤？",48,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-1-maternal-pediatric-036","有關以腹腔鏡進行子宮肌瘤切除前後的照護措施，下列何者錯誤﹖",36,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-108-1-maternal-pediatric-080","張小妹，4 個月大，被診斷水腦（Hydrocephalus），接受腦室腹膜分流（V-P shunt）手術，有關手術後護理措施，下列何者錯誤？",80,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-maternal-pediatric-034","王女士接受試管嬰兒治療，今日抽血驗孕報告為未懷孕，王女士表示自己懷孕症狀明顯，一定是檢驗錯誤，下列護理措施何者最適當？",34,109,"2026-09-04",1788510759993]