[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-產兒科護理學-021","nurse-106-2-maternal-pediatric-021",106,2,21,"協助產婦產後第一次下床活動，須優先進行何項護理評估？",{"A":14,"B":15,"C":16,"D":17},"生命徵象","子宮收縮","小便自解","乳汁分泌","A",null,[],"本題考點為產後首次下床的姿位性低血壓風險。產後血容量重新分布、久臥後自律神經調節較慢,起身時易發生姿位性低血壓與暈厥跌倒,故下床前須優先評估生命徵象(尤其血壓、脈搏)以確認循環穩定,選A。B子宮收縮屬產後常規評估,但與下床安全無直接關聯;C小便自解是評估膀胱脹尿與排空功能,非下床的優先項目;D乳汁分泌屬泌乳評估,與活動安全無關。優先順序以「維持循環穩定、避免跌倒」為判準,故循環相關的生命徵象評估最優先。","姿位性低血壓機轉:平躺轉直立時約500 mL血液滯留下肢,靜脈回流驟減、心輸出量下降;正常靠壓力受器反射(baroreceptor)代償,產後婦女血液動力學尚未穩定,代償較慢。安全下床採漸進三步驟「坐-站-走」:先床緣坐、觀察無頭暈再站立行走。可連結產後生理性利尿與血容量下降概念。",[24,27,28,31],{"term":25,"count":26},"姿位性低血壓",3,{"term":14,"count":10},{"term":29,"count":30},"壓力受器反射",1,{"term":32,"count":30},"產後血液動力學",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-022","王女士採陰道生產，問護理師：「我什麼時候可以裝子宮內避孕器？」下列回答何者正確？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-107-1-maternal-pediatric-038","全子宮切除手術之術前腸道準備，下列何者不恰當？",38,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-maternal-pediatric-052","幼年型類風濕性關節炎兒童的護理措施，下列敘述何者正確？",52,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-109-1-maternal-pediatric-010","有關生產疼痛理論，下列描述何者正確？",10,109,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-110-1-maternal-pediatric-054","有關兒童事故傷害的預防與處置，下列敘述何者正確？",54,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,111,"2026-09-04",1788510699240]