[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-010":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-114-3-產兒科護理學-010","nurse-114-3-maternal-pediatric-010",114,3,10,"王女士，G 1 P 0 ，懷孕 41 週，子宮頸口已開全。護理師等王女士出現想用力的感覺時，開始鼓勵她順著感覺向下用力，並依自己舒適的方式，發出聲音用力。有關護理師教導的這種方式，相較於傳統的閉氣用力，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"第二產程實際用力時間縮短","不會明顯增加胸腔內壓","較容易發生會陰撕裂傷","較不會引發產後的尿失禁","C",null,[],"本題考點在於自發性（順應感覺、開放聲門）用力與傳統閉氣用力（Valsalva）的差異，本題為反向題。錯誤敘述為 C：開放聲門、順著便意用力較不會過度伸展會陰，反而降低嚴重會陰撕裂傷風險，故「較容易發生會陰撕裂傷」的說法與事實相反。A 正確，自發性用力能縮短第二產程實際用力時間；B 正確，不需長時間閉氣故不會明顯升高胸腔內壓、較不影響靜脈回流與胎盤灌流；D 正確，較不會過度增加骨盆底壓力，產後尿失禁機率較低。故選 C。","傳統閉氣用力屬 Valsalva manoeuvre：長時間閉氣使胸腔內壓上升、靜脈回流與心輸出量下降，進而減少子宮胎盤灌流，可能造成胎心率減速；也對骨盆底施加過大壓力。開放聲門的自發性用力則順應生理反射，減少胎兒缺氧與母體骨盆底損傷。這是近代產房推廣「順勢用力」取代口令閉氣的實證依據。",[24,27,30,32],{"term":25,"count":26},"第二產程",9,{"term":28,"count":29},"自發性用力 vs Valsalva",1,{"term":31,"count":29},"胸腔內壓與靜脈回流",{"term":33,"count":29},"會陰與骨盆底保護",[35,39,45,50,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-011","有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",11,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-maternal-pediatric-007","有關引產之適應症，下列何者錯誤？",7,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-106-1-maternal-pediatric-051","小維，足月兒，體重 2,800 公克。出生後的第 3 天，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 16 mg\u002FdL，醫囑照光治療，下列何者是最重要的護理目標？",51,106,{"webId":51,"stem":52,"number":26,"year":53,"session":44},"nurse-107-2-maternal-pediatric-009","有關海洋性貧血之敘述，下列何者錯誤？",107,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-108-2-maternal-pediatric-053","有關嬰兒急救的程序，下列敘述何者正確？",53,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-maternal-pediatric-007","懷孕婦女詢問為什麼她臉頰、額頭最近開始出現一些褐色斑點，護理師以下解釋，何者正確？",110,"2026-09-04",1788510762345]