[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-108-1-產兒科護理學-021","nurse-108-1-maternal-pediatric-021",108,1,21,"李女士剖腹生產後第 1 天，生命徵象正常，尚未排氣，惡露為少量的深紅色，下列護理指導何者適當？",{"A":14,"B":15,"C":16,"D":17},"避免下床活動以免傷口疼痛影響腸蠕動","因乳汁尚未分泌暫不進行母乳餵食","惡露量為異常應注意有內出血情形","教導腿部運動以防血栓靜脈炎","D",null,[],"本題考點是剖腹產後早期活動與血栓預防。依產褥期靜脈血流滯緩、凝血因子上升的生理特性,剖腹產婦臥床加上手術傷口,深部靜脈血栓風險升高,故教導踝泵及腿部運動促進下肢靜脈回流以防血栓靜脈炎,選D。A錯在早期下床反而促進腸蠕動與排氣,避免下床違反早期活動原則。B錯在乳汁未大量分泌時仍有初乳,應及早哺餵刺激泌乳與子宮收縮,不該暫停。C錯在產後第一天少量深紅色屬正常紅惡露,並非內出血徵象,誤判為異常。","產後高凝狀態源自懷孕時纖維蛋白原與凝血因子增加、加上生產失血後的代償,符合Virchow三要素中的血流滯緩與高凝狀態;剖腹產再添血管內皮受損,三要素齊全故血栓風險最高。記憶點:產後預防DVT三招為早期下床、腿部運動、水分充足。可連結Homan徵象評估與惡露顏色時序(紅惡露約1至3天、漿液性至第10天、白惡露至6週)。",[24,27,29,31],{"term":25,"count":26},"早期下床活動",5,{"term":28,"count":10},"產褥期高凝狀態",{"term":30,"count":10},"深部靜脈血栓預防",{"term":32,"count":10},"正常紅惡露",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-022","吳女士產後第 2 天於餵母奶時表示：「妹妹跟爸爸長得好像！」此時產婦的行為屬於下列何者？",22,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-maternal-pediatric-038","有關以子宮托（pessary）減輕子宮脫垂程度，其正確的放置部位為何？",38,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-maternal-pediatric-052","丁丁，2 歲，診斷為水腦，並接受腦室－腹膜分流術（V-P shunt），現已術後第 5 天，今早丁丁哭鬧不喝奶，測得體溫達 38.2℃、血壓為 100\u002F60 mmHg，有關護理評估，下列何者需優先執行？",52,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-maternal-pediatric-010","懷孕 30 週婦女，主訴想強化骨盆肌肉群，下列產前運動之建議何者正確？①盤腿坐姿運動 ②凱格爾運動 ③蹲踞運動 ④膝胸臥式運動 ⑤腹肌收縮運動",10,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-maternal-pediatric-054","早產兒若氧氣濃度超過 60%，PaO 2 \u003C 60 mmHg 時，醫囑使用持續性氣道正壓呼吸（CPAP），下列敘述何者不適當？",54,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-maternal-pediatric-008","丁女士，G 1 P 0 ，妊娠 39 週，常規產檢結果正常。丁女士表示：「最近肚子有下降了，呼吸也更輕鬆了」。預期丁女士伴隨發生的症狀，下列何者可能性最低？",8,112,3,"2026-09-04",1788510710395]