[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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":10},"nurse-107-1-產兒科護理學-017","nurse-107-1-maternal-pediatric-017",107,1,17,"林女士，29 歲，大陸瀋陽人，G 1 P 1 ，先生為臺商，結婚後來臺居住，產後第一天她抱怨沒有奶水無法餵奶，懷孕生產讓自己變胖變醜，先生過兩天後要回大陸工作，必須獨自一人照顧新生兒而顯擔憂。護理師對其產後調適的評估，下列護理問題何者較不恰當？",{"A":14,"B":15,"C":16,"D":17},"低自尊","缺乏社會支持","身體心像改變","照顧新生兒壓力","A",null,[],"本題考點在依情境資料判斷『較不恰當』的產後心理社會護理問題。分析個案：抱怨變胖變醜（身體心像改變）、獨自照顧新生兒又語言文化陌生（缺乏社會支持、照顧新生兒壓力）皆有直接資料支持；而『低自尊』指對自我價值的整體負向評價，題幹描述偏向對外表與處境的擔憂，缺乏個案貶低自我價值的直接依據，屬推論過度，故『低自尊』較不恰當，選 A。B 缺乏社會支持有『先生將返大陸、獨自照顧、遠離原生家庭』佐證。C 身體心像改變有『變胖變醜』直接陳述。D 照顧新生兒壓力有『必須獨自照顧新生兒而擔憂』佐證，皆恰當。","護理診斷須以個案『主客觀資料』為依據，避免無佐證的過度推論。身體心像改變（body image disturbance）針對外觀知覺；低自尊（low self-esteem）針對整體自我價值感，兩者概念不同，題幹僅支持前者。產後心理調適可對照 Rubin 產後母親角色適應三期：接受期（taking-in，依賴、談論生產經驗）→掌控期（taking-hold，學習育兒、易受挫需支持與肯定）→放手期（letting-go，接納新角色）。此個案產後第一天且面臨支持系統薄弱，屬需加強社會支持與育兒指導的重點。可連結概念：護理診斷資料佐證、Rubin 母親角色適應、身體心像 vs 自尊。",[24,26,27,29],{"term":25,"count":10},"護理診斷資料佐證",{"term":16,"count":10},{"term":28,"count":10},"社會支持",{"term":30,"count":10},"Rubin 母親角色適應",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-107-1-maternal-pediatric-018","有關母乳與配方奶差異的敘述，下列何者正確？",18,{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-107-2-maternal-pediatric-034","有關評估 32 週妊娠糖尿病孕婦過去一個月間血糖控制之成效，下列何項檢測最佳？",34,2,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-108-1-maternal-pediatric-048","王小妹，8 歲，罹患急性腎絲球腎炎，若出現少尿情形，有關飲食之護理指導，下列何項應避免？",48,108,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-109-2-maternal-pediatric-006","有關生產計畫書，下列敘述何者不適當？",6,109,{"webId":52,"stem":53,"number":54,"year":55,"session":40},"nurse-110-2-maternal-pediatric-050","下列那個年齡層兒童，其繪畫發展已能充分表現創造性、具有平面及空間概念畫法？",50,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-004","有關懷孕時因雌性素增加，造成孕期常見的不適，下列敘述何者正確？",4,112,"2026-09-04",1788510703404]