[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-109-1-產兒科護理學-021","nurse-109-1-maternal-pediatric-021",109,1,21,"產後 6～10 天心跳次數較孕前減緩，最可能的原因為何？",{"A":14,"B":15,"C":16,"D":17},"心輸出量增加","心臟負荷增加","產後出血","腹壓增加","A",null,[],"本題考點在於產後心血管系統的生理變化。生產後子宮胎盤循環終止、子宮收縮使大量血液回流體循環（自體輸血），加上組織間液回吸收，使回心血量與每搏輸出量增加、心輸出量上升；心輸出量增加會經壓力反射引發代償性心搏減緩，形成產後 6–10 天常見的相對心跳變慢，故選 A。B 心臟負荷此時並非增加，敘述與產後血流變化不符，故錯。C 產後出血會使血容量下降、心跳代償性加快而非減緩，方向相反，故錯。D 腹壓在產後隨子宮縮小而下降，且與心跳減緩無直接因果，故錯。核心在辨識產後心輸出量增加引發反射性心搏過緩。","產後心血管變化：胎盤娩出後子宮血液回流（自體輸血約 500 mL）＋孕期滯留組織液回吸收→前負荷與心輸出量上升，經頸動脈竇壓力接受器反射造成心搏過緩（產後心搏可降至 50–70 次\u002F分）。此為生理性、非病態。與產後出血的代償性心搏過速恰相反，臨床評估須先排除出血。",[24,26,28,30,32],{"term":14,"count":25},2,{"term":27,"count":25},"產後心搏過緩",{"term":29,"count":10},"產後生理變化",{"term":31,"count":10},"自體輸血",{"term":33,"count":10},"壓力反射",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-maternal-pediatric-022","有關哺餵母乳婦女產後排卵與月經之生理變化，下列敘述何者正確？",22,{"webId":40,"stem":41,"number":42,"year":9,"session":25},"nurse-109-2-maternal-pediatric-038","陳女士 G 4 P 3 ，有急產之經驗，目前子宮頸開 7 公分，主訴一直有便意感，下列敘述何者錯誤？",38,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-maternal-pediatric-052","有關意識不清的嬰幼兒期病童疼痛評估，下列何者最適當？",52,110,{"webId":49,"stem":50,"number":51,"year":52,"session":25},"nurse-111-2-maternal-pediatric-010","妊娠 36 週時，腹部四段式觸診觸得胎位是 LOA，則評估胎心音時，超音波胎音器（doppler）應放在何處，會聽得最清楚？",10,111,{"webId":54,"stem":55,"number":56,"year":57,"session":25},"nurse-112-2-maternal-pediatric-054","小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",54,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-maternal-pediatric-018","有關新生兒篩檢的敘述，下列何者正確？",18,113,3,"2026-09-04",1788510713262]