[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-107-2-產兒科護理學-020","nurse-107-2-maternal-pediatric-020",107,2,20,"張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",{"A":14,"B":15,"C":16,"D":17},"2 星期後疼痛情況就會改善","因母乳哺餵造成泌乳激素分泌而引起","適當活動可以改善疼痛","先停止母乳哺餵以緩解疼痛","C",null,[],"本題考點在產後痛（afterpains）的機轉與衛教。哺乳時嬰兒吸吮刺激腦下垂體釋放催產素，引發子宮收縮以促進復舊，此陣發性收縮即為產後痛，經產婦（如本例 P2）更明顯；適當活動與排空膀胱有助子宮維持良好收縮、減輕不適，故 C 衛教適宜。A 稱 2 星期後才改善不正確，產後痛通常數天內即緩解。B 將機轉歸因於泌乳激素（prolactin）錯誤，引發子宮收縮的是催產素（oxytocin）。D 為緩解疼痛而停止哺乳並不恰當，違反哺乳促進復舊的目的，故選 C。","產後痛的關鍵是釐清兩個激素：催產素（oxytocin）由吸吮反射刺激釋放，作用於子宮引發收縮（也負責噴乳反射），是產後痛的直接成因；泌乳激素（prolactin）負責乳汁「生成」而非子宮收縮。經產婦子宮肌張力較差，需更強的陣發性收縮才能復舊，故產後痛更明顯。連結概念：催產素、噴乳反射、子宮復舊、經產婦。",[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},"產後痛 afterpains",3,{"term":34,"count":35},"哺乳吸吮反射",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-2-maternal-pediatric-021","陰道生產剛結束的婦女若有尿瀦留的現象，最主要的原因為何？",21,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-108-1-maternal-pediatric-037","有關生殖器疱疹之敘述，下列何者正確？",37,108,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-108-2-maternal-pediatric-051","病童罹患厭食症，於營養復健期間，因過度餵食、體重快速增加可能造成的問題，下列敘述何者正確？",51,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-110-1-maternal-pediatric-009","有關胎兒呼吸系統發育，下列敘述何者正確？",9,110,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-111-1-maternal-pediatric-053","小方，進入瀕臨死亡狀態，有關瀕死的生命跡象，下列何者最不適當？",53,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-maternal-pediatric-007","懷孕婦女抱怨陰道白色分泌物（白帶）增加、呈黏稠狀、無臭味，造成會陰部不適感，此種情況最可能原因為？",7,112,"2026-09-04",1788510725823]