[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-025","nurse-106-2-maternal-pediatric-025",106,2,25,"王女士為第二胎，採陰道生產，新生兒體重 3980 公克，抱怨子宮收縮痛，護理師評估子宮收縮呈堅硬狀態。有關產後痛的說明，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"疼痛是因子宮產生間歇性收縮所致","經產婦會較初產婦子宮收縮疼痛明顯","新生兒較大者子宮收縮痛會較明顯","子宮收縮疼痛感通常會持續 3 週","D",null,[],"本題考點為產後痛(afterpains)的特性,屬找錯誤題。產後痛源於子宮間歇性收縮以促進復舊與止血,通常在產後2～3天內明顯並逐漸緩解,不會持續長達3週,故D敘述錯誤為答案。A疼痛因子宮間歇收縮所致,正確;B經產婦子宮肌張力較差、需以較強收縮復舊,產後痛較初產婦明顯,正確;C胎兒較大(如3980克)使子宮過度撐大、收縮更強,疼痛更明顯,正確。判準在於產後痛的持續時間為數天而非數週。","產後痛機轉:哺乳時乳頭刺激促使腦下垂體後葉釋放催產素(oxytocin),引發子宮收縮,故餵奶時疼痛加劇。初產婦子宮多呈持續收縮較不痛;經產婦、多胎、羊水過多、巨嬰因肌纖維過度伸展改以間歇收縮而較痛。口訣:經產、大baby、餵奶時,產後痛更明顯,約2-3天緩解。",[24,27,30,33],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":29},"催產素",8,{"term":31,"count":32},"經產婦",4,{"term":34,"count":10},"產後痛",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-maternal-pediatric-026","承上題，提供王女士產後痛的護理措施，下列何者為宜？",26,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-107-1-maternal-pediatric-042","有關燒燙傷之敘述，下列何者錯誤？",42,107,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-107-2-maternal-pediatric-056","小倫，1 個月大，接種 B 型肝炎疫苗。下列何者是適合肌肉注射的部位？",56,{"webId":51,"stem":52,"number":53,"year":54,"session":45},"nurse-109-1-maternal-pediatric-014","李女士每 1 分鐘子宮收縮一次，每次持續 50 秒，子宮頸口全開，變薄程度 100%，胎兒先露部位高度為＋2，有強烈想用力的感覺。當子宮收縮時，下列的護理指導何者最恰當？",14,109,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-110-1-maternal-pediatric-058","協助學齡前期的手足面對病童瀕死的護理措施，下列敘述何者正確？",58,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-maternal-pediatric-012","王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",12,111,"2026-09-04",1788510699282]