[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":62},"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-114-3-產兒科護理學-006","nurse-114-3-maternal-pediatric-006",114,3,6,"有關無壓力試驗（NST），下列敘述何者正確？①觀察胎兒心跳型態的變化 ②至少要記錄 60 分鐘 ③建議第三孕期檢測 ④胎心率加速表示有缺氧情形",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","B",null,[],"本題考點在於無壓力試驗（NST）的判讀原則與適應時機。NST 透過胎兒監視器連續記錄胎心率及其變化型態，故敘述①正確；檢測多在第三孕期高危險妊娠時進行以評估胎盤功能，故③正確，答案為 B。②錯在標準判讀時間約 20 分鐘（必要時延長至 40 分鐘），而非至少 60 分鐘；④更是概念相反，胎心率隨胎動加速（reactive）代表自主神經與胎盤功能良好，屬有反應型的正常表現，並非缺氧，缺氧反而會出現晚期減速或變異性下降。","NST 的核心邏輯是「反應性」：健康胎兒在胎動時，交感神經使心率短暫加速。合格標準（20 分鐘內至少 2 次加速、每次≥15 bpm 且持續≥15 秒）稱 reactive。記憶對比：加速為好、晚期減速為壞。若 NST 無反應，才進一步做生理性評估（BPP）或壓力試驗（CST\u002FOCT）。第④選項是最常見的陷阱，考生易把「加速」誤讀成缺氧警訊。",[24,27,30,33],{"term":25,"count":26},"胎心率加速",5,{"term":28,"count":29},"無壓力試驗(NST)",2,{"term":31,"count":32},"反應型(reactive)判讀標準",1,{"term":34,"count":32},"第三孕期胎盤功能評估",[36,40,44,49,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-3-maternal-pediatric-007","陳女士，懷孕 12 週又 3 天，過去曾經在 9 週時自然流產一次，家裡有 3 個孩子，分別是 40 週出生的女兒 1 個、35 週出生的雙胞胎 2 個，以孕產史記錄法，其產次應為？",7,{"webId":41,"stem":42,"number":10,"year":43,"session":29},"nurse-115-2-maternal-pediatric-003","有關孕期乙型鏈球菌篩檢之敘述，下列何者正確？",115,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-106-1-maternal-pediatric-047","下列為 2 歲幼兒滴耳藥的護理步驟，那一個環節出現錯誤？",47,106,{"webId":50,"stem":51,"number":26,"year":52,"session":29},"nurse-107-2-maternal-pediatric-005","有關雌性素（estrogen）對懷孕早期生殖系統所造成的變化，下列何者錯誤？",107,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-108-2-maternal-pediatric-049","小明，8 個月大，疑似患有胃食道逆流（gastroesophageal reflux, GER）接受多項診斷檢查，下列何者正確？",49,108,{"webId":59,"stem":60,"number":10,"year":61,"session":32},"nurse-110-1-maternal-pediatric-003","有關妊娠期腸胃系統的變化所造成孕婦不適的現象，下列敘述何項正確？",110,"2026-09-04",1788510762315]