[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-109-2-產兒科護理學-034","nurse-109-2-maternal-pediatric-034",109,2,34,"王女士接受試管嬰兒治療，今日抽血驗孕報告為未懷孕，王女士表示自己懷孕症狀明顯，一定是檢驗錯誤，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"立即連絡施術醫師解釋檢驗報告","解釋抽血報告最準確，請王女士再接再厲","衛教懷孕症狀為妊娠的主觀經驗，請王女士要努力接受現實","鼓勵王女士表達其疑問與擔憂，詢問是否需要協助聯絡配偶到院，與醫療團隊共同討論後續治療規畫","D",null,[],"本題考點為不孕治療失敗後的情緒支持與護理溝通。依同理與治療性溝通原則,面對驗孕未孕卻堅持檢驗有誤的王女士,護理措施應鼓勵她表達疑問與擔憂、詢問是否需協助聯絡配偶,並與醫療團隊共同討論後續計畫,故選 D。考點在於辨識支持性、以病人為中心的回應。A 立即聯絡醫師解釋報告,略過了先接住其情緒的步驟,過於急於處置;B 只強調抽血最準並要她「再接再厲」,否定其感受且未提供情感支持;C 要她「努力接受現實」帶有說教與否定,無助其調適失落。唯 D 兼顧情緒宣洩、支持系統與共同決策,最適當。","不孕治療失敗易引發否認、憤怒、悲傷等失落反應,「一定是檢驗錯誤」屬否認階段的防衛。治療性溝通重點:同理接納情緒、開放式引導表達、動員配偶與支持系統、避免說教否定,並在情緒穩定後與醫療團隊共同討論後續計畫。護理角色是陪伴與賦權,而非急於糾正認知或提供結論。記憶:「先接情緒、再談事實;鼓勵表達勝過說教」。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":29},"共同決策",3,{"term":31,"count":32},"不孕治療失落反應",1,{"term":34,"count":32},"同理與情緒支持",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-maternal-pediatric-035","下列何者為陰道產的產後出血定義？",35,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-maternal-pediatric-051","小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",51,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-maternal-pediatric-065","小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",65,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-113-1-maternal-pediatric-017","抱起新生兒放入磅秤測量體重，新生兒四肢出現對稱性的外展和伸直，大拇指與食指呈C字形，是下列那種反射表現？",17,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-maternal-pediatric-011","郭女士，懷孕 39 週。主訴：「自今天凌晨 1 點開始陸續出現陣痛，有時半小時，有時 20 分鐘痛一次，不太規則。大概從半夜 3 點開始，宮縮變得規則且明顯，大約 5 分鐘一次」。早上 6 點因子宮頸口開 3 公分且 3～4 分鐘宮縮一次而入院待產。下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分陰道娩出一健康女嬰。下午 4 點 20 分胎盤娩出。請問郭女士此次生產第一產程時間應記錄為何？",11,114,"2026-09-04",1788510717369]