[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-109-1-產兒科護理學-019","nurse-109-1-maternal-pediatric-019",109,1,19,"林女士 G 2 P 2 ，採陰道分娩，產後第 1 天，觸診子宮偏軟，位置與肚臍同高並偏向右側，此時優先的護理評估項目為何？",{"A":14,"B":15,"C":16,"D":17},"解尿情形","大便次數","進食狀況","會陰傷口","A",null,[],"本題考點在於產後子宮收縮不良的原因辨識與優先評估。情境為產後第 1 天子宮偏軟、底部與臍同高並偏向右側，膀胱脹滿會將子宮往上及偏向一側推移並妨礙子宮收縮，是子宮偏移與收縮不良的常見主因，故優先評估解尿情形（膀胱是否脹滿），選 A。B 大便次數與產後子宮位置偏移無直接關係，非優先，故錯。C 進食狀況與此時子宮偏軟偏位的機轉關聯低，故錯。D 會陰傷口評估雖屬產後常規，但無法解釋子宮偏右與偏軟，非本情境優先，故錯。核心在辨識膀胱脹滿為子宮偏移、影響收縮的關鍵，故先評估排尿。","產後子宮復舊評估看「高度、硬度、位置」：正常底部應在臍下、質地堅實、居中。膀胱脹滿典型使子宮上升且偏右，並因阻礙收縮而增加產後出血風險。處置方向為協助排空膀胱後再評估子宮收縮。記憶：「子宮偏軟又偏右，先想膀胱漲不漲」。子宮按摩與哺乳可促進收縮。",[24,27,30,32,34],{"term":25,"count":26},"產後出血",5,{"term":28,"count":29},"產後子宮復舊",2,{"term":31,"count":29},"膀胱脹滿",{"term":33,"count":29},"子宮收縮不良",{"term":35,"count":10},"子宮底評估",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-maternal-pediatric-020","有關待產的麻醉藥物減痛之敘述，下列何者正確？",20,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-109-2-maternal-pediatric-036","有關陰道瘻管，下列敘述何者正確？",36,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-1-maternal-pediatric-050","嬰兒最早發展的知覺為下列何者？",50,110,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,111,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-112-2-maternal-pediatric-052","小凱為 26 週大的早產兒，有關維持早產兒體溫的照護措施，下列敘述何者不適當？",52,112,{"webId":61,"stem":62,"number":63,"year":64,"session":65},"nurse-113-3-maternal-pediatric-016","有關胎盤早期剝離之敘述，下列何者錯誤？",16,113,3,"2026-09-04",1788510713240]