[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-021":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-106-1-產兒科護理學-021","nurse-106-1-maternal-pediatric-021",106,1,21,"黃女士，G 2 P 2 ，陰道產後 6 小時尚未排尿，她表示：「我從生產到現在只喝一點水，沒什麼尿液感」，下列護理處置何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"因個案水喝得少，繼續觀察有無尿液感情形","鼓勵個案多喝水，增加尿液感","若個案超過 8 小時仍未排尿，則協助導尿","評估膀胱，解釋產後膀胱脹滿的敏感度減低，並協助排尿","D",null,[],"本題考點為產後尿滯留的評估與護理處置。依產後生理,生產過程膀胱與尿道受壓,膀胱脹滿的敏感度降低,即使膀胱已充盈也可能無尿意,故正確處置為實際評估膀胱脹滿情形、向產婦解釋此敏感度減低的機轉並協助排尿,選D。選項A僅以喝水少為由繼續觀察,忽略評估膀胱有無脹滿;選項B一味鼓勵多喝水而未先評估;選項C被動等到超過8小時才導尿,可能已造成膀胱過度膨脹影響子宮收縮與復舊,故皆不及先評估膀胱並主動協助排尿適宜。","產後尿滯留機轉:分娩使膀胱張力與感覺暫時下降,加上會陰疼痛、水腫,常出現「膀胱滿卻無尿意」。護理主軸是先評估膀胱膨脹(觸診或掃描殘尿),再以誘尿技巧(聽流水聲、溫水沖會陰、下床如廁)協助自解,無效才考慮導尿。膀胱過脹會頂高子宮、妨礙收縮而增加產後出血風險。",[24,27,30,32],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":29},"產後尿滯留",2,{"term":31,"count":10},"膀胱膨脹評估",{"term":33,"count":10},"膀胱感覺減退",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-022","有關奶水不足的主要原因，下列何者錯誤？",22,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-maternal-pediatric-038","有關生殖器疱疹之敘述，下列何者正確？",38,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-maternal-pediatric-052","有關先天性甲狀腺功能低下症（Congenital Hypothyroidism）之敘述，下列何者錯誤？",52,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-maternal-pediatric-010","李女士在第一產程中破水，下列何者為最優先的措施？",10,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-109-2-maternal-pediatric-054","小莉被診斷為血小板無力症（thrombasthenia），此次入院進行首次輸血小板治療，她表示現在最害怕受到懲罰，她的發展最可能屬於下列何階段？",54,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-008","在妊娠期間，下列何項腎臟功能是降低的？",8,111,"2026-09-04",1788510693764]