[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-產兒科護理學-023","nurse-109-1-maternal-pediatric-023",109,1,23,"有關產後泌尿系統的變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"會陰傷口或裂傷使產婦對膀胱漲滿的敏感度減低","產後 12～24 小時會藉利尿作用將孕期積聚過多的液體排出","產後 2～3 天尿量可高達一天 3,000 c.c.","產後第 10 天尿量開始恢復正常","D",null,[],"本題考點在於產後泌尿系統的恢復時程。依產褥期生理學,孕期滯留的組織間液會在產後24至48小時內透過利尿與排汗大量排出,尿量在產後2至3天可高達每日3,000 c.c.,並於產後第5天左右恢復正常,故D敘述「第10天才開始恢復」時程過晚,屬錯誤選項。A正確,會陰傷口或裂傷造成的疼痛與水腫會降低產婦對膀胱漲滿的敏感度,易致尿液滯留。B正確,產後12至24小時的利尿作用正是排除孕期積聚液體的機轉。C正確,產後利尿高峰時尿量確實可達每日3,000 c.c.。因此唯一時程錯誤者為D。","產後利尿與孕期血漿容積擴張的逆轉有關:懷孕時因醛固酮與動情素上升而滯留鈉水,分娩後胎盤娩出使這些荷爾蒙驟降,腎臟開始排出多餘液體,加上乳汁分泌與排汗,體重可在產褥早期明顯下降。記憶要點:利尿「早發(12–24小時)、量大(可達3,000 c.c.)、快退(約第5天正常)」,凡把恢復時程拖到7至10天者多為錯誤選項。可連結產後生命徵象、膀胱脹尿導致子宮偏移影響子宮復舊等概念一併複習。",[24,26,28,30],{"term":25,"count":10},"產後利尿作用",{"term":27,"count":10},"孕期體液滯留逆轉",{"term":29,"count":10},"產褥期泌尿系統恢復時程",{"term":31,"count":10},"膀胱敏感度下降",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-024","胎盤娩出後，腦下垂體前葉分泌何者使乳房開始分泌乳汁？",24,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",40,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-054","有關兒童事故傷害的預防與處置，下列敘述何者正確？",54,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-012","王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",12,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-056","有關評估早產兒的生長發展，下列敘述何者最適當？",56,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-020","下列何種情況易導致待產婦女發生子宮內翻（Uterine Inversion）？①娩出胎盤時過度牽引臍帶 ②過早注射 Methergin ③在子宮底施加壓力（fundal pressure） ④胎盤早期剝離",20,113,3,"2026-09-04",1788510713279]