[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-產兒科護理學-009","nurse-108-2-maternal-pediatric-009",108,2,9,"懷孕 11 週的黃女士向護理師抱怨有頻尿的現象，可是並無解尿困難的情形，下列何者是較適當的護理指導？",{"A":14,"B":15,"C":16,"D":17},"白天的飲水量應該減少","仍維持每日適當的飲水量","要求黃女士馬上接受醫生的問診","要求黃女士慢慢練習自我控制膀胱，然後將兩次排尿的時間儘量拉長","B",null,[],"本題考點是早孕期頻尿的護理指導。依妊娠生理，懷孕早期（約 11 週）增大的子宮於骨盆腔內前壓膀胱，加上血流量與腎絲球過濾率上升、尿液生成增多，造成頻尿但無解尿疼痛或困難，屬正常生理現象；正確指導是維持每日適當飲水量以避免脫水與泌尿道感染，故選 B。A 錯在減少飲水會增加脫水與尿路感染風險，且無助於病因。C 錯在無解尿困難、無感染徵象，不需要立即就醫，屬過度反應。D 錯在刻意憋尿延長排尿間隔會增加尿滯留與感染風險，非適當指導。","妊娠頻尿雙峰：早孕期因子宮於骨盆腔壓迫膀胱；孕中期子宮升入腹腔後暫緩；晚孕期胎頭下降再度壓迫而復發。鑑別重點：單純頻尿（無痛、無灼熱、無血尿）＝生理性；若合併解尿疼痛、灼熱、頻急、發燒＝泌尿道感染需就醫。衛教方向：維持水分、白天足量、睡前適度減量以改善夜尿、勿憋尿。記憶：『壓膀胱的頻尿別限水，會痛的頻尿才查感染』。",[24,26,29,31],{"term":25,"count":10},"泌尿道感染鑑別",{"term":27,"count":28},"妊娠頻尿",1,{"term":30,"count":28},"子宮壓迫膀胱",{"term":32,"count":28},"腎絲球過濾率增加",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-010","李女士在第一產程中破水，下列何者為最優先的措施？",10,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-maternal-pediatric-026","Apgar score 計分表的評估項目不包含下列那一項？",26,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",40,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-maternal-pediatric-078","小玉，3 歲，因原有腦室-腹膜分流管（V-P shunt）感染，已移除並接受腦室外引流（external ventricular drainage）手術，有關術後護理措施，下列敘述何者正確？",78,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-maternal-pediatric-042","以「家庭為中心的照護」應用於加護病房的照顧，下列敘述何者正確？",42,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-maternal-pediatric-026","小花因誤食鐵劑而送醫治療，指導小花媽媽之護理措施，下列敘述何者最適當？",113,"2026-09-04",1788510706936]