[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-022","nurse-114-2-maternal-pediatric-022",114,2,22,"林女士第一胎，子宮頸口全開後，即使在無子宮收縮時，也可在會陰部看到胎兒頭髮，此現象稱為：",{"A":14,"B":15,"C":16,"D":17},"胎頭固定","胎頭下降+2","著冠","屈曲","C",null,[],"本題考點在於分娩過程中胎頭外露的專有名詞。依產科定義，子宮頸全開後即使無宮縮，會陰部仍可持續見到胎頭不再回縮，稱為著冠(crowning)，故選C。A胎頭固定指胎頭最大徑通過骨盆入口平面；B胎頭下降+2指胎頭骨質最低點位於坐骨棘下2公分，屬定位指標而非外觀現象；D屈曲是胎頭俯屈以最小徑通過產道的分娩機轉，皆非本題描述的著冠現象。","著冠是第二產程即將娩出的指標,此時應準備接生並保護會陰。胎頭下降度以坐骨棘為0,棘上為負、棘下為正(-5至+5);著冠約對應+4至+5。分娩機轉七步:銜接、下降、屈曲、內回轉、伸展、外回轉、娩出。",[24,27,30,33],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"分娩機轉",4,{"term":31,"count":32},"著冠crowning",1,{"term":34,"count":32},"胎頭下降度",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-maternal-pediatric-023","有關妊娠高血壓婦女在預防產後大出血之護理措施，下列何者最不適當？",23,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-maternal-pediatric-019","有關新生兒出生時維生素 K 缺乏的原因，下列何者錯誤？",19,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-maternal-pediatric-013","承上題，護理師提供蘇女士背部按摩以減輕疼痛，此護理措施是根據那一種疼痛理論？",13,106,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-107-1-maternal-pediatric-051","有關第一型糖尿病（type I diabetes mellitus）的初期臨床表徵，下列敘述何者正確？",51,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-maternal-pediatric-015","有關分娩時經產婦的子宮頸變化之敘述，下列何者正確？",15,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-2-maternal-pediatric-049","有關生命末期兒童疼痛評估和照護，下列敘述何者最不適當？",49,109,"2026-09-04",1788510760119]