[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-107-1-產兒科護理學-022","nurse-107-1-maternal-pediatric-022",107,1,22,"有關陰道生產後評估結果的敘述，下列何者為異常現象？",{"A":14,"B":15,"C":16,"D":17},"產墊上的惡露量少，呈紅色，有血腥味","會陰傷口輕微紅腫，切開傷口邊緣無分泌物","在右側可摸到鬆軟且位置偏高的子宮底","檢查下肢的霍曼式徵象（Homan’s sign）為陰性反應","C",null,[],"本題考點在陰道產後評估，辨識異常現象。依子宮復舊評估，正常產後子宮底應位於中線且堅硬；若『偏右且位置偏高、鬆軟』，多因膀胱脹尿把子宮往上往側頂並影響收縮，屬異常表現需處置（協助排尿），故選 C。A 正常，產後初期惡露量少、呈紅色（lochia rubra）、帶血腥味屬正常紅色惡露。B 正常，會陰傷口輕微紅腫但邊緣密合、無膿性分泌，屬正常癒合初期反應。D 正常，霍曼氏徵象陰性表示無深部靜脈栓塞跡象，為正向結果。三者皆屬正常，唯 C 提示膀胱脹與子宮收縮不良。","子宮復舊正常軌跡：產後即約臍平，之後每日下降約 1 橫指（1 cm），約產後 10–14 天降入骨盆腔觸不到；子宮底應『中線、堅硬』。子宮底偏高偏右且鬆軟＝典型膀胱脹尿徵象，膨脹膀胱推移子宮並妨礙其收縮，恐致子宮收縮乏力性出血，處置為協助排空膀胱後再評估。惡露序列：紅色（rubra, 1–3 天）→漿液性（serosa, 約 4–10 天）→白色（alba, 約 10 天後）。Homan's sign 陽性才提示 DVT 疑慮。可連結概念：子宮復舊、膀胱脹與宮縮乏力、惡露分期、Homan's sign。",[24,27,29,31],{"term":25,"count":26},"惡露分期",3,{"term":28,"count":10},"子宮復舊評估",{"term":30,"count":10},"膀胱脹尿",{"term":32,"count":10},"Homan's sign",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-023","黃女士 G 1 P 1 ，產後第三天，主訴乳房觸痛、發熱、變硬且有硬塊，下列護理指導何項正確？",23,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",39,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-maternal-pediatric-053","玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",53,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-maternal-pediatric-011","有關產婦生產用力的描述，下列何者錯誤？",11,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-maternal-pediatric-055","小妮，1 歲半，診斷為蠶豆症（G-6-PD），有關此疾病之兒童與家庭壓力反應之護理措施，下列敘述何者最不適當？",55,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-009","王女士，因卵巢過度刺激症候群（Ovarian Hyperstimulation Syndrome, OHSS）住院安胎，腹水嚴重相當不舒服，且住院很多事不方便，但會說這是值得的，會努力配合治療。王女士正進行那些懷孕期發展任務（maternal task）？①確保自己及胎兒在懷孕中能安全順利 ②使重要家人接受新生兒 ③學習貢獻自己 ④與胎兒連成一體",9,112,"2026-09-04",1788510703466]