[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-107-1-產兒科護理學-023","nurse-107-1-maternal-pediatric-023",107,1,23,"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？",{"A":14,"B":15,"C":16,"D":17},"不用擔心，在 24 小時內會覺得比較好些","讓寶寶多吸奶，若吸的不好，應每 2～3 小時擠奶","教導餵奶時使用乳頭罩，以減輕乳房觸痛","儘量減少液體的攝取，以防增加乳房脹痛","B",null,[],"本題考點在產後乳房腫脹（engorgement）的護理指導。依泌乳生理，乳房腫脹的核心是排空不足，正確處置為增加移出乳汁，故指導『讓寶寶多吸奶，若含乳不佳應每 2–3 小時擠奶』最正確，選 B。A 錯在只安撫『24 小時會好』而未提供有效排空措施，可能延誤處理。C 錯在使用乳頭罩（乳盾）不利有效移出乳汁、且可能加重腫脹並影響含乳，並非解決腫脹之道。D 錯在減少水分攝取無助於消除已生成的乳汁腫脹，反而不利母體與泌乳，水分應維持適量。","生理性乳房腫脹多發生於產後 2–5 天泌乳量增多時，因乳汁淤積＋間質水腫與血流增加所致，表現為乳房脹硬、觸痛、發熱。處置核心：頻繁有效哺餵（每 2–3 小時、確保含乳正確）或擠奶排空；哺餵前溫敷或按摩助乳汁流出，哺餵後冷敷（含高麗菜葉冷敷）減輕腫脹與疼痛。與乳腺炎鑑別：乳腺炎多為單側局部紅腫熱痛併發燒與類流感症狀，需就醫評估是否抗生素，仍應持續哺餵患側。記憶：腫脹＝『排空為王』，別禁水、別隨意用乳盾。可連結概念：生理性乳房腫脹、有效移出乳汁、溫敷冷敷、乳腺炎鑑別。",[24,26,28,30],{"term":25,"count":10},"乳房腫脹 engorgement",{"term":27,"count":10},"有效移出乳汁",{"term":29,"count":10},"溫敷冷敷",{"term":31,"count":10},"泌乳生理",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-024","避孕針劑是利用何種高濃度的荷爾蒙干擾精卵運送及子宮內膜發育？",24,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-040","下列何種治療方式，最常用在子宮頸糜爛時的治療？",40,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-054","有關青少年憂鬱症的治療與處置，下列何者正確？",54,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-012","有關待產婦之護理，下列敘述何者錯誤？",12,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-056","媽媽看到 2 歲大的小寶喝了一大口漂白水，應該如何立即處置再送醫？",56,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-010","有關衛生福利部國民健康署對婦女妊娠期體重增加之建議，下列敘述何者正確？",10,112,"2026-09-04",1788510703477]