[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-033","nurse-109-1-maternal-pediatric-033",109,1,33,"丁女士在產後 10 天惡露量突然變多且呈紅色，到門診產後檢查後確立為子宮復舊不全，造成子宮復舊不全的主要原因為何？",{"A":14,"B":15,"C":16,"D":17},"胎膜殘留","胎盤碎片殘留","子宮張力不全","骨盆感染","B",null,[],"本題考點在於子宮復舊不全(subinvolution)的最常見原因。依產褥期病生理,子宮復舊不全指產後子宮無法正常縮小回復,最常見原因為胎盤碎片殘留於子宮腔內,殘留組織妨礙子宮肌纖維有效收縮並持續刺激內膜,導致惡露異常增多、色紅且持續,故選B。A胎膜殘留亦可造成問題,但相較於胎盤碎片,胎盤組織殘留才是復舊不全的最主要原因。C子宮張力不全(收縮乏力)多造成產後立即出血,而非產後10天的延遲性復舊不全。D骨盆感染為次要或合併因素而非主因。因此最主要原因為B胎盤碎片殘留。","正常子宮復舊靠肌纖維持續收縮壓迫血管(生理性結紮)與胎盤床血栓形成;若胎盤碎片殘留,局部無法收縮閉合,便持續出血並延遲子宮縮小,臨床表現為晚發性產後出血(產後24小時後至6週)。護理評估重點在於子宮底高度不降、質地偏軟、惡露由漿液性又轉回紅色。記憶要點:「殘留=復舊不全=晚發性出血」。處置概念上多需清宮移除殘留與使用子宮收縮劑。可連結產後出血四大原因(4T:Tone、Tissue、Trauma、Thrombin)複習,此題屬Tissue。",[24,27,28,30],{"term":25,"count":26},"子宮復舊不全 subinvolution",2,{"term":15,"count":26},{"term":29,"count":10},"晚發性產後出血",{"term":31,"count":10},"子宮肌纖維收縮",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-034","有關產褥感染，下列何者正確？①其定義是產後任 2 天體溫在 38℃或 38℃以上 ②最常見的細菌為陰道內的細菌，例如 B 群鏈球菌 ③以腸胃道感染最常見 ④每天至少需 2,500～3,000 毫升的水分攝入",34,{"webId":38,"stem":39,"number":40,"year":9,"session":26},"nurse-109-2-maternal-pediatric-050","當護理師為病童點眼藥水時，下列敘述何者較不適宜？",50,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-110-1-maternal-pediatric-064","王小妹，6 個月大，有關心導管檢查前的準備，下列敘述何者適當？",64,110,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-111-2-maternal-pediatric-022","有關泌乳機轉的敘述，下列何者正確？",22,111,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-112-2-maternal-pediatric-066","邱小弟，4 歲，罹患重度主動脈瓣狹窄（Aortic Stenosis, AS），下列敘述何者錯誤？",66,112,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-113-3-maternal-pediatric-030","關於 9 歲學齡期兒童的發展及生長，下列敘述何者最適當？",30,113,3,"2026-09-04",1788510713380]