[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-019":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":26},"nurse-109-2-產兒科護理學-019","nurse-109-2-maternal-pediatric-019",109,2,19,"陰道生產的產後第二天，評估子宮底呈堅硬狀，位置在肚臍以下 2 公分，惡露呈紅色且小量，此時最適當的護理指導為何？",{"A":14,"B":15,"C":16,"D":17},"教導按摩子宮底至鬆軟狀","解釋為子宮復舊正常現象","給予誘尿","通知醫師處理","B",null,[],"本題考點為產後子宮復舊的正常評估指標。依子宮復舊的正常進程,產後第二天子宮底應堅硬、位於臍下約一至二指,惡露呈紅色少量屬正常表現,故護理指導應解釋為子宮復舊正常現象,選 B。考點在於辨識此為正常復舊而非異常。A 教導按摩至鬆軟是錯誤方向,子宮底堅硬正是收縮良好的表現,按摩到鬆軟反而不利止血;C 給予誘尿適用於膀胱脹致子宮上移偏移,但本題子宮位置正常無此需要;D 通知醫師處理無必要,因評估結果全屬正常,不需醫療介入。","子宮復舊指標:產後 24 小時子宮底約在臍平,之後每日下降約一指幅,約產後 10～14 天降入骨盆腔觸不到。堅硬的子宮底代表肌肉收縮壓迫血竇止血;鬆軟則為子宮收縮不良,才需按摩促收縮。惡露進程:紅惡露(1～3 天)→漿惡露(4～10 天)→白惡露(10 天後)。子宮底偏右上移常提示膀胱脹,需先排尿。記憶:「硬是好、軟才揉;偏移先尿尿」。",[24,27,29,31],{"term":25,"count":26},"子宮復舊正常進程",1,{"term":28,"count":26},"子宮底高度變化",{"term":30,"count":26},"惡露顏色分期",{"term":32,"count":26},"子宮收縮止血機轉",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-020","有關產後痛（after pain）的護理，下列何者錯誤？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-036","鄭女士 53 歲，有關更年期之注意事項，下列敘述何者最適當？",36,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-050","下列那個年齡層兒童，其繪畫發展已能充分表現創造性、具有平面及空間概念畫法？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-maternal-pediatric-008","懷孕期愛滋血清試驗中，對於初篩連續兩次陽性反應之個案，衛生單位應聯繫孕婦進行下列那項措施？",8,112,{"webId":53,"stem":54,"number":10,"year":55,"session":26},"nurse-113-1-maternal-pediatric-002","有關妊娠期血液檢查之敘述，下列何者正確？",113,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-114-1-maternal-pediatric-046","莉莉，4個月，此次因唇裂（cleft lip）住院，醫師安排進行唇裂修補術，在手術後的照護，下列敘述何者較適當？",46,114,"2026-09-04",1788510717224]