[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-009","nurse-114-2-maternal-pediatric-009",114,2,9,"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？",{"A":14,"B":15,"C":16,"D":17},"上面的這條曲線是代表寶寶的心跳次數","下面的這條曲線是代表太太子宮收縮的情形","可監測宮縮時胎兒心率的變化來評估胎兒健康","機器設定每分鐘跑 1 公分寬時，每一小格代表 1 分鐘","D",null,[],"本題考點在於電子胎兒監測器(EFM)紀錄紙的正確判讀說明。本題為反向題,錯誤敘述為 D:台灣常用的走紙速度為每分鐘 3 公分,紀錄紙上每一小格(1 mm)代表的是數秒而非 1 分鐘,說「每分鐘跑 1 公分寬、每一小格代表 1 分鐘」與實際走紙速度與格線時間單位不符,故 D 最不適當而選之。A 正確,上方曲線代表胎心率(FHR)。B 正確,下方曲線代表子宮收縮壓力變化。C 正確,同步監測宮縮與胎心率的關係(如是否出現減速)可評估胎兒健康與胎盤功能。比對後,唯 D 對走紙速度與時間刻度的說明錯誤。","EFM 上排為 FHR(正常基準線 110–160 bpm),下排為子宮收縮(toco 或壓力導管)。走紙 3 cm\u002Fmin 時判讀減速類型與宮縮關係:早期減速對稱於宮縮(胎頭受壓)、晚期減速落後於宮縮波峰(胎盤功能不良)、變異減速形狀不定(臍帶受壓),是產程監測核心判讀。",[24,27,29,31],{"term":25,"count":26},"電子胎兒監測器 EFM",1,{"term":28,"count":26},"走紙速度 3cm\u002Fmin",{"term":30,"count":26},"胎心率與宮縮曲線",{"term":32,"count":26},"減速判讀",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-maternal-pediatric-010","有關第二產程的產痛來源，下列何者錯誤？",10,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-115-1-maternal-pediatric-006","懷孕 30 週孕婦抱怨下背痛，可優先教導下列何種運動？",6,115,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-115-2-maternal-pediatric-050","小富，17 歲，因左側股骨骨折須以石膏固定，有關小富所需要的護理，下列敘述何者正確？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-1-maternal-pediatric-038","全子宮切除手術之術前腸道準備，下列何者不恰當？",38,107,{"webId":53,"stem":54,"number":10,"year":55,"session":10},"nurse-108-2-maternal-pediatric-002","下列那一種細菌或病毒感染，為罹患子宮頸癌的高危險群？",108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-maternal-pediatric-036","有關陰道瘻管，下列敘述何者正確？",36,109,"2026-09-04",1788510760009]