[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-114-3-產兒科護理學-008","nurse-114-3-maternal-pediatric-008",114,3,8,"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？",{"A":14,"B":15,"C":16,"D":17},"第二產程才可以進行泡澡","水溫以接近 37℃為宜","水面高度要蓋過腹部","泡澡時間勿超過 1.5 小時","A",null,[],"本題考點在於水療（泡澡）緩解產痛的安全條件，本題為反向題。錯誤敘述為 A：泡澡屬第一產程活動期（子宮頸擴張約 4～5 cm 以上）的非藥物減痛措施，而非第二產程才能進行，第二產程反而不宜。B 正確，水溫接近體溫 37℃可放鬆又避免體溫過高影響胎兒；C 正確，水面需蓋過腹部才能藉浮力與水壓分散子宮收縮痛；D 正確，單次浸泡不宜過久（勿超過約 1.5 小時）以免影響體溫調節與循環。故選 A。","水中減痛的機轉包含浮力減輕重力壓迫、溫水促進肌肉放鬆與局部血流、以及藉閘門控制理論（gate control）以溫熱刺激競爭疼痛傳導。時機以第一產程活動期最佳；水溫過高（>37～37.5℃）會使母體與胎兒心跳加速，故控溫是安全關鍵。破水後是否可入水各院規範不同，須評估感染風險。",[24,27,29,32],{"term":25,"count":26},"非藥物減痛",4,{"term":28,"count":10},"閘門控制理論",{"term":30,"count":31},"水療時機(第一產程活動期)",1,{"term":33,"count":31},"水溫控制",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-009","有關足月胎兒的頭部，下列敘述何者錯誤？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-maternal-pediatric-005","下列何者為懷孕的確實徵象？",5,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-106-1-maternal-pediatric-049","王小弟，10 歲，頭部外傷住加護病房治療，因病情穩定轉出至兒科病房，然病童仍躁動不安，欲拔除鼻胃管及靜脈注射留置針，經護理評估為了病人安全需給予約束，下列護理措施何者正確？",49,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-maternal-pediatric-007","針對胎兒胚胎發育成身體各器官及構造中，下列何者是由中胚層發育而來？",7,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-maternal-pediatric-051","病童罹患厭食症，於營養復健期間，因過度餵食、體重快速增加可能造成的問題，下列敘述何者正確？",51,108,{"webId":61,"stem":62,"number":42,"year":63,"session":31},"nurse-110-1-maternal-pediatric-005","第三妊娠期孕婦身體姿勢之敘述，下列何項正確？",110,"2026-09-04",1788510762338]