[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-011","nurse-114-2-maternal-pediatric-011",114,2,11,"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？",{"A":14,"B":15,"C":16,"D":17},"12 小時 00 分鐘","13 小時 10 分鐘","14 小時 00 分鐘","15 小時 20 分鐘","A",null,[],"本題考點在於第一產程時間的正確起算與計算。依定義,第一產程自「規則宮縮」開始,計算至子宮頸完全擴張(10 公分)為止。郭女士凌晨 1 點起的陣痛不規則不列入,直到凌晨 3 點宮縮才轉為規則且明顯(約 5 分鐘一次),故起算點為凌晨 3 點;下午 3 點子宮頸完全擴張為終點。由凌晨 3 點到下午 3 點恰為 12 小時整,故選 A 12 小時 00 分鐘。B、C、D 之所以錯,多為誤把不規則陣痛的凌晨 1 點起算、或把胎兒娩出(4:10)、胎盤娩出(4:20)等第二、三產程時間也算入第一產程所致。","產程分期口訣:第一產程『規則宮縮→子宮頸全開』、第二產程『全開→胎兒娩出』、第三產程『胎兒娩出→胎盤娩出』。關鍵在起點取『規則宮縮』而非最初的零星陣痛,終點取『子宮頸全開』而非胎兒出生。本題第二產程為 15:00→16:10(70 分),第三產程 16:10→16:20(10 分)。",[24,27,29,31],{"term":25,"count":26},"產程分期",3,{"term":28,"count":10},"第一產程定義",{"term":30,"count":10},"子宮頸完全擴張",{"term":32,"count":33},"規則宮縮起算",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-012","吳女士，G 1 P 1 ，剖腹產後第 2 天，詢問：「我肚子脹脹的、不舒服，可以不要下床嗎？」下列護理措施何者最適當？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-115-1-maternal-pediatric-008","吳女士，懷孕 40 週，規則陣痛入院待產，主述：「清晨 1 點開始，陸續出現不規則陣痛，清晨 3 點開始規律宮縮，大約 5～6 分鐘就痛一次。」下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分自然娩出一健康男嬰。下午 4 點 20 分胎盤娩出。吳女士此次生產第二產程歷經多久時間？",8,115,{"webId":45,"stem":46,"number":10,"year":47,"session":33},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",106,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-107-1-maternal-pediatric-040","有關急性骨盆腔炎婦女的照護措施，下列何者錯誤？",40,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",4,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-038","陳女士 G 4 P 3 ，有急產之經驗，目前子宮頸開 7 公分，主訴一直有便意感，下列敘述何者錯誤？",38,109,"2026-09-04",1788510760033]