[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-107-1-產兒科護理學-020","nurse-107-1-maternal-pediatric-020",107,1,20,"林女士 G 2 P 2 ，剛餵完奶，皺眉以手扶著腹部，對護理師抱怨較前次產後不舒服，下列回應何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"餵母奶有助惡露排出，且會減輕產後痛","產後痛在產後初期發生，可能影響睡眠","經產婦產後痛較初產婦常發生","適當活動與放鬆技巧可改善","A",null,[],"本題考點在產後痛（afterpains）的衛教，找出回應錯誤者。依產後生理，餵母乳時嬰兒吸吮刺激母體分泌催產素，促進子宮收縮以助惡露排出，但同時會使產後痛『加劇』而非減輕，故 A『可減輕產後痛』敘述錯誤，為答案。B 正確，產後痛多在產後初期（尤其前 2–3 天）陣發性出現，可能干擾睡眠。C 正確，經產婦子宮肌張力較差、需間歇性強力收縮回復，故產後痛較初產婦明顯且常見。D 正確，適當活動、放鬆技巧、必要時止痛藥可緩解產後痛不適。","產後痛機轉：初產婦子宮多維持持續性收縮、較不痛；經產婦與多胞胎、羊水過多致子宮過度膨脹者，產後子宮以陣發性收縮回復，痛感較明顯。哺乳時催產素釋放（噴乳反射同一機轉）強化宮縮，故餵奶當下常伴子宮絞痛，這是子宮復舊良好的表現，但『主觀感受是更痛』，A 的錯誤即在把生理上『加強宮縮』誤導為『減輕疼痛』。緩解：排空膀胱、俯臥加壓、活動、放鬆與止痛。可連結概念：催產素與噴乳反射、子宮復舊、經產婦 vs 初產婦。",[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":35},"產後痛 afterpains",3,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-maternal-pediatric-021","楊女士剖腹產後第二天開始進食，主訴腹脹不舒服，下列措施何者不恰當？",21,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-107-2-maternal-pediatric-037","王女士第一胎，目前在第一產程的過渡期，隨著越來越密集的字宮收縮，王女士顯得很焦慮不安。在床邊陪伴的王先生詢問護理師：「我的太太很不舒服，我也不知道怎麼幫忙，我最好到產房外面等待？」，此時護理師最適當的回答為何？",37,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-108-1-maternal-pediatric-051","10 歲的大華罹患癲癇（Epilepsy）以口服 phenobarbital（luminal）藥物治療，護理人員給予大華母親的護理指導，下列何者正確？",51,108,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-109-2-maternal-pediatric-009","罹患妊娠糖尿病婦女，努力控制飲食，讓飯後血糖值在正常範圍，此為魯賓（Rubin）所提出何種母性任務行為？",9,109,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-110-2-maternal-pediatric-053","早產兒的體溫調節功能不成熟，下列護理措施何者不適當？",53,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-1-maternal-pediatric-007","李女士懷孕 14 週，產檢時詢問：「我從小就吃素，現在懷孕了，我在飲食上要注意什麼嗎？」下列回應何者較適當？",7,112,"2026-09-04",1788510703437]