[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-110-1-產兒科護理學-019","nurse-110-1-maternal-pediatric-019",110,1,19,"林女士，陰道分娩後 12 小時，主訴會陰傷口疼痛，下列敘述何者適當？",{"A":14,"B":15,"C":16,"D":17},"請產婦採屈膝仰臥式評估會陰傷口","採 REEDA 評估時，A 是指傷口密合度（Approximation）","指導如廁後由肛門往陰道口的方向擦拭會陰部","給予溫水坐浴 20 分鐘","B",null,[],"本題考點是產後會陰傷口的評估工具REEDA。考點在於REEDA五項評估中的A即指傷口邊緣的密合度（Approximation），評估縫合傷口兩側是否對合良好，故B正確。REEDA其餘四項為R紅（Redness）、E腫（Edema）、E瘀斑（Ecchymosis）、D分泌物（Discharge）。A錯在評估會陰傷口宜採側臥（Sim's position）暴露會陰，屈膝仰臥並非最佳暴露姿勢。C錯在如廁後擦拭應由前往後（陰道口往肛門方向）以免將肛門細菌帶向會陰造成感染，方向恰相反。D溫水坐浴雖有助舒適，但本題所問為評估相關敘述，B才是對評估工具的正確描述。記住REEDA字首對應是本題核心。","REEDA是產後會陰傷口癒合的標準化評估：Redness紅、Edema水腫、Ecchymosis瘀斑、Discharge分泌物、Approximation傷口對合，各項計分越高代表癒合越差、感染或血腫風險越高。評估採側臥充分暴露會陰與肛門。會陰照護要點：由前往後擦拭、如廁後溫水沖洗、產後24小時內可冰敷減腫、之後溫水坐浴促進循環與舒適、勤換產墊保持乾燥。發現傷口對合不良、化膿分泌、劇痛或膨出血腫時須就醫評估。方向與姿勢是這題最常設的陷阱。",[24,27,29,31],{"term":25,"count":26},"REEDA評估",2,{"term":28,"count":10},"Approximation傷口密合度",{"term":30,"count":10},"會陰擦拭由前往後",{"term":32,"count":10},"側臥暴露會陰",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-020","邱女士，產後第三天嚴重脹奶，原想採純母乳哺餵，表示：「昨天都還好，今早突然這樣，實在太痛了，我想打退奶針。」下列何項處置最適當？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-036","有關更年期婦女使用荷爾蒙補充療法的禁忌，下列何者錯誤？",36,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-050","有關對於兒童疼痛控制的敘述，下列何者正確？",50,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-maternal-pediatric-032","有關新生兒身體評估結果，下列何者需進一步追蹤評估？",32,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-026","有關注意力不足過動症（attention deficit hyperactivity disorder, ADHD），下列敘述何者正確？",26,114,3,"2026-09-04",1788510721751]