[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-2-產兒科護理學-021","nurse-107-2-maternal-pediatric-021",107,2,21,"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？",{"A":14,"B":15,"C":16,"D":17},"膀胱內括約肌收縮","胎兒通過產道時壓迫膀胱","產後雌性素濃度增加所致","第一節薦椎神經受損","B",null,[],"本題考點在產後尿滯留的主要成因。陰道生產時胎兒先露部通過產道會壓迫膀胱與尿道，造成局部組織水腫、暫時性感覺與肌張力下降，使產婦排尿困難、尿意降低而尿滯留，故選 B。A 膀胱內括約肌「收縮」並非產後常見機轉，產後多為膀胱張力降低與感覺遲鈍。C 產後雌性素濃度是急遽「下降」而非增加，敘述與生理相反。D 第一節薦椎神經受損屬病理性神經損傷，非一般陰道產後尿滯留的主因。本題要辨識「胎兒壓迫致膀胱水腫張力下降」的核心機轉，故選 B。","產後尿滯留的病生理是多因子：分娩時膀胱與尿道受胎頭壓迫產生水腫、會陰疼痛與傷口抑制排尿、麻醉（尤其硬膜外）降低膀胱感覺。護理處置強調早期並定時排尿、評估膀胱膨脹、必要時導尿，因膀胱過度膨脹會妨礙子宮收縮復舊、增加產後出血與感染風險。連結概念：膀胱張力下降、膀胱膨脹、子宮復舊、產後出血。",[24,27,29,32],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":10},"產後尿滯留",{"term":30,"count":31},"胎兒壓迫膀胱",1,{"term":33,"count":31},"膀胱水腫張力下降",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-022","有關結紮手術之敘述，下列何者正確？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-maternal-pediatric-038","最常導致愛滋病患神經系統感染的病原體為何？",38,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-052","常見的兒童虐待類型包括身體虐待、情緒（精神）虐待、性虐待及疏忽，有關兒童虐待的敘述，下列何者正確？",52,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-110-1-maternal-pediatric-010","有關受精的敘述，下列何者錯誤？",10,110,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-111-1-maternal-pediatric-054","早產兒口、鼻、氣管內管分泌物多，必要時應予抽吸，下列敘述何者正確？",54,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,112,"2026-09-04",1788510725826]