[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-010","nurse-114-2-maternal-pediatric-010",114,2,10,"有關第二產程的產痛來源，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"下段子宮肌肉伸展","宮縮時子宮肌肉缺氧","胎兒先露部位壓迫產婦臀部","會陰肌肉的伸展擴張","A",null,[],"本題考點在於區分第一產程與第二產程的產痛來源。本題為反向題,錯誤敘述為 A:下段子宮肌肉伸展與子宮頸擴張所引起的疼痛屬第一產程的產痛來源,並非第二產程,故 A 錯誤選之。第二產程指子宮頸全開到胎兒娩出,此期產痛主要來自:B 宮縮時子宮肌肉缺氧、C 胎兒先露部下降壓迫產道與骨盆底組織及臀部、D 會陰與陰道肌肉被撐開伸展的疼痛,皆為第二產程特有的來源。比對後,唯 A 屬第一產程的疼痛機轉,誤植於第二產程。","產痛依產程來源不同:第一產程以子宮頸擴張與子宮下段伸展為主(內臟痛,經 T10–L1),定位模糊、多牽連至腰背;第二產程加入先露部壓迫與會陰陰道伸展(軀體痛,經 S2–S4 陰部神經),定位明確、集中會陰。此差異也是硬脊膜外麻醉需涵蓋 T10–S4 節段的原因。",[24,26,29,31,33],{"term":25,"count":10},"會陰伸展",{"term":27,"count":28},"第二產程產痛",1,{"term":30,"count":28},"先露部壓迫",{"term":32,"count":28},"內臟痛與軀體痛",{"term":34,"count":28},"產痛神經傳導",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-maternal-pediatric-011","郭女士，懷孕 39 週。主訴：「自今天凌晨 1 點開始陸續出現陣痛，有時半小時，有時 20 分鐘痛一次，不太規則。大概從半夜 3 點開始，宮縮變得規則且明顯，大約 5 分鐘一次」。早上 6 點因子宮頸口開 3 公分且 3～4 分鐘宮縮一次而入院待產。下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分陰道娩出一健康女嬰。下午 4 點 20 分胎盤娩出。請問郭女士此次生產第一產程時間應記錄為何？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-115-1-maternal-pediatric-007","張女士，G1P0，懷孕 40 週入院待產。目前子宮頸擴張 4 公分，變薄 50%，先露部位高度為 0，羊膜完整，無特殊異常狀況，胎心率為 140 bpm。她詢問：「我可以下床走走嗎？」，護理師最適當的回答是：",7,115,{"webId":46,"stem":47,"number":28,"year":48,"session":28},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-107-1-maternal-pediatric-039","有關婦女腹部超音波檢查的護理指導，下列何者正確？",39,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-maternal-pediatric-003","李女士，G 1 P 0 ，懷孕 25 週，請教護理師：「我身體上從肚臍到會陰部有一條褐色的線，這正常嗎？什麼時候會消失？」，護理師的回答，下列何者為宜？",3,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-maternal-pediatric-037","下列何者不屬於後天免疫缺乏症候群（AIDS）之伺機性感染？",37,109,"2026-09-04",1788510760013]