[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-114-3-產兒科護理學-007","nurse-114-3-maternal-pediatric-007",114,3,7,"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？",{"A":14,"B":15,"C":16,"D":17},"1","2","3","4","B",null,[],"本題考點是孕產史記錄法中『產次(parity)』的計算。產次計算的是『達存活週數(約20～24週)以上的生產次數』,而非胎兒或嬰兒的個數,且多胞胎一次生產只計為一次產次;未達存活週數的流產不計入產次。逐項核對陳女士:過去在9週自然流產一次——未達存活週數,不計;40週生下女兒——足月生產1次;35週生下雙胞胎——早產生產1次(雙胞胎算1次)。目前懷孕12週尚未生產,不計。故產次為足月1次+早產1次=2,選B。9週流產與雙胞胎的『2個嬰兒』是本題兩個陷阱,前者不計、後者只算1次。","以GTPAL系統拆解最清楚:G(gravida孕次)=所有懷孕次數,含本次=本次1+女兒1+雙胞胎1+流產1=4;T(term足月產)=1;P(preterm早產,達存活週數)=1(雙胞胎算1);A(abortion流產,未達存活週數)=1(9週那次);L(living現存活子女)=3(女兒1+雙胞胎2)。產次(para)=T+P=1+1=2。兩大口訣:『產次算次數不算人數,多胞胎一次算一次』、『未達存活週數的流產進A不進P\u002FT』。常見誤答是把雙胞胎算2、或把9週流產也算進產次而得3,辨識這兩點即穩得B。",[24,27,29,31],{"term":25,"count":26},"孕產史GTPAL",1,{"term":28,"count":26},"產次計算生產次數",{"term":30,"count":26},"多胞胎計為一次產次",{"term":32,"count":26},"流產未達存活週數不計產次",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-008","王女士，G 1 P 0 ，已待產 10 小時，子宮頸口擴張 6 cm，尚未破水，宮縮頻率為 40”\u002F3'-5'，她想要泡澡來緩解產痛，但又擔心安全性。下列護理措施何者錯誤？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-004","趙女士，29 歲，曾流產一次，有一個 4 歲大的兒子（懷孕 40 週出生），一個剛滿 1 歲的女兒（懷孕 36 週出生），現因再次懷孕而到產科門診檢查，病歷記錄趙女士的孕產史為：",4,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-maternal-pediatric-048","小馨，20 個月，身體檢查評估時，一般而言，下列那顆乳齒尚未長出？",48,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-006","採全素食之孕婦，容易缺少下列何種營養素？",6,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-050","兒童接受排空性膀胱尿道攝影（voiding cystouretheography）的主要目的是：",50,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-maternal-pediatric-004","有關常見遺傳疾病之敘述，下列何項正確？",110,"2026-09-04",1788510762330]