[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-114-2-產兒科護理學-008","nurse-114-2-maternal-pediatric-008",114,2,8,"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？",{"A":14,"B":15,"C":16,"D":17},"肚臍和右側髂骨前上棘連線中間","肚臍和左側髂骨前上棘連線中間","恥骨聯合上緣","肚臍下緣","C",null,[],"本題考點在於依胎位與產程階段判斷胎心音最清晰的聽診部位。依聽診原則,胎心音在胎兒背部最清晰,LOA(左枕前位)通常位於產婦左下腹;但本題已進入第二產程且胎頭著冠,胎頭下降至骨盆底,聽診位置隨之下移至恥骨聯合上緣(近陰阜、下腹正中處)最能清楚聽到,故選 C。A、B 肚臍與髂前上棘連線中點屬胎頭尚在較高位置(如枕前位早期)的聽診區,不符著冠時的低位。D 肚臍下緣位置偏高,亦不符胎頭已下降至骨盆底的情形。比對後,著冠時以恥骨聯合上緣為最佳聽診點。","胎心音聽診口訣:『找胎背、隨下降下移』。頭位聽診點在肚臍下方,先露部愈下降、聽診點愈往恥骨聯合方向移動;臀位則在肚臍上方。著冠代表胎頭已抵陰道口、位置最低,故聽診點降到最接近恥骨聯合處。臀位、橫位聽診點不同,是評估胎位的間接線索。",[24,26,29,31],{"term":25,"count":10},"胎心音聽診",{"term":27,"count":28},"LOA 胎位",1,{"term":30,"count":28},"第二產程著冠",{"term":16,"count":28},[33,37,42,46,51,55],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-2-maternal-pediatric-009","周女士，G 1 P 0 ，懷孕 39 週。兩小時前由配偶陪同入院待產，目前腹部上裝著電子胎兒監測器臥床休息中。配偶指著機器上的胎心率紀錄紙，問：「這要怎麼看？」。以臺灣目前最常使用的方式為例，下列的說明內容，何者最不適當？",9,{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-115-1-maternal-pediatric-005","林女士 40 歲，目前懷孕 10 週，高興成功懷孕，但也擔心胎兒有染色體問題。有關此期唐氏症遺傳診斷檢查之敘述，下列何者最不適當？",5,115,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-115-2-maternal-pediatric-049","蘇小妹，3 歲，開顱手術後第 2 天，有關評估顱內壓上升的症狀，下列何項評估不適當？",49,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-107-1-maternal-pediatric-037","有關子宮肌瘤處置之敘述，下列何者正確？",37,107,{"webId":52,"stem":53,"number":28,"year":54,"session":10},"nurse-108-2-maternal-pediatric-001","依據世界衛生組織及聯合國兒童基金會推行的政策，要成為母嬰親善醫院需符合下列那一項規定？",108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-035","下列何者為陰道產的產後出血定義？",35,109,"2026-09-04",1788510760005]