[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-022":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-022","nurse-110-1-maternal-pediatric-022",110,1,22,"丁女士 30 歲，第二胎，現為產後第二天，其宮底位於臍下一指，惡露呈紅色量中，主訴昨夜睡眠差且感宮縮疼痛不適，當新生兒推出餵奶時，表示想休息並拒絕餵奶，此行為正確的解釋是：",{"A":14,"B":15,"C":16,"D":17},"此為第二胎，所以對新生兒較不感好奇，也較以自我為中心","此宮縮痛是不正常之現象，應立即通知醫師","此時處於接受期，身體仍需調養，所以應主動為她哺餵新生兒","此時處於接受期，應先滿足她的需求，但同時亦應鼓勵她多接觸新生兒","D",null,[],"本題考點是產後心理適應的接受期（taking-in phase）與護理反應。考點在於Rubin的產後心理適應理論中，產後1至2天為接受期，產婦以自身為中心、依賴性高、需要休息與被照顧，此時她想休息、暫拒餵奶屬正常表現，護理應先滿足其休息與生理需求，同時鼓勵並漸進促進她與新生兒接觸，故D正確。A錯在拒絕餵奶與胎次或對嬰兒好奇與否無關，是接受期的正常反應。B錯在產後宮縮痛（afterpain）屬正常、與哺乳催產素釋放有關，並非須緊急通報醫師的異常。C錯在此期不宜勉強要求她主動哺餵，應以支持其恢復為先。理解Rubin接受期特徵是解題核心。","Rubin產後心理適應分三期：接受期（taking-in，產後1–2天）以自我為中心、被動依賴、回顧分娩經驗、需休息與進食；掌握期（taking-hold，產後3–10天）開始主動學習育兒、渴望指導，是衛教的黃金時機；放手期（letting-go）調整角色、接納新生兒為獨立個體並可能經歷失落。護理原則是配合各期需求：接受期先滿足與支持、勿強加任務；掌握期積極提供哺餵與照護教學。產後宮縮痛在經產婦與哺乳時更明顯，屬子宮復舊的正常過程，可衛教其成因以減焦慮。",[24,26,28,30],{"term":25,"count":10},"Rubin接受期taking-in",{"term":27,"count":10},"產後依賴與自我中心",{"term":29,"count":10},"產後宮縮痛afterpain",{"term":31,"count":10},"母嬰依附促進",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-023","有關母乳哺餵對母親的影響，下列護理指導何者正確？",23,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-039","下列何者最可能與原發性月經疼痛相關？",39,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-053","小方，進入瀕臨死亡狀態，有關瀕死的生命跡象，下列何者最不適當？",53,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-011","陳女士 G 1 P 1 ，因前置胎盤採剖腹產，有關產後立即性照護，下列何者錯誤？",11,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-035","有關病童死亡時，支持其家人哀傷的護理措施，下列敘述何者較為適當？",35,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-029","小華，3 歲，住院期間常常鬧脾氣，有關設計治療性遊戲降低其住院反應，下列敘述何者最適當？",29,114,3,"2026-09-04",1788510721778]