[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-020":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-110-1-產兒科護理學-020","nurse-110-1-maternal-pediatric-020",110,1,20,"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？",{"A":14,"B":15,"C":16,"D":17},"哺餵次數過多會造成乳汁分泌量增多，建議定時餵奶","協助熱敷與按摩乳房直至乳房呈現柔軟狀態","刺激噴乳反射，協助擠出乳汁","建議穿著較緊胸罩、減少刺激與限制水分來退奶","C",null,[],"本題考點是產後乳房腫脹（engorgement）欲純母乳哺餵者的處置。考點在於脹奶時最有效的處置是移出乳汁、緩解乳腺充盈，故應刺激噴乳反射（let-down reflex）並協助擠出或哺餵乳汁以疏通，故C正確。A錯在乳汁分泌採供需原則，減少哺餵反而使乳汁滯留加重腫脹，定時餵奶並不利於脹奶緩解，應依嬰兒需求哺餵。B錯在嚴重脹奶時哺乳前宜溫敷軟化、哺乳後冷敷消腫，一味持續熱敷至柔軟並非正解且可能加重充血。D錯在穿緊胸罩、限制水分等退奶措施違背個案原本純母乳哺餵的意願，不應主動導向退奶。掌握「移出乳汁解除充盈」的核心處置是解題關鍵。","產後3–5天的生理性脹奶源自泌乳啟動（lactogenesis II）加上乳房血流與淋巴充盈，處置核心是有效且頻繁地移出乳汁：哺乳前溫敷或淋浴、輕柔按摩、以反向壓迫軟化乳暈利於含乳，噴乳反射由嬰兒吸吮或擠乳刺激催產素分泌而觸發；哺乳後可冷敷或冷高麗菜葉減輕水腫疼痛。乳汁供需回饋機制下，越常移出越促進分泌、越少移出越易滯留而致乳腺炎。退奶（穿緊胸罩、限水、退奶藥）僅適用於確定不哺乳者，與純母乳意願相悖。",[24,26,28,30],{"term":25,"count":10},"生理性乳房腫脹",{"term":27,"count":10},"噴乳反射let-down",{"term":29,"count":10},"乳汁供需回饋",{"term":31,"count":10},"溫敷冷敷時機",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-021","下列何者為更年期女性的生理變化？①濾泡刺激素大量增加 ②雌性素分泌增加 ③低密度脂蛋白增加 ④陰道 pH 值下降",21,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-037","有關更年期婦女的護理指導，下列何者不適當？",37,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-051","正常新生兒消化系統特徵的敘述，下列何者錯誤？",51,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-009","婦女在懷孕過程中會主動尋求與生產有關之訊息，定期接受產前檢查，並且經常請教親朋好友生產的情形，這符合下列那項魯賓（Rubin）母性任務發展？",9,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-027","罹患自閉症（autism）病童之行為表現，下列敘述何者錯誤？",27,114,3,"2026-09-04",1788510721764]