[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-1-產兒科護理學-024","nurse-110-1-maternal-pediatric-024",110,1,24,"王女士 G 1 P 1 ，陰道生產產後第 3 天，主訴感覺疲倦、失眠、緊張、過於敏感，有時會不由自主的掉眼淚。她目前最可能的情況為何？",{"A":14,"B":15,"C":16,"D":17},"產後的正常現象","產後情緒低落（postpartum blues）","產後憂鬱（postpartum depression）","產後精神病（postpartum psychosis）","B",null,[],"本題考點是產後情緒障礙的鑑別診斷。考點在於個案於產後數天出現疲倦、失眠、緊張、過度敏感、無故落淚等症狀，程度輕微、可自行緩解且不影響照顧嬰兒能力，最符合產後情緒低落（postpartum blues），故B正確。A錯在雖然情緒低落發生率高、屬常見，但它是可辨識命名的暫時性情緒狀態，題目要求指出「最可能情況」，B比籠統的「正常現象」更精確。C錯在產後憂鬱症狀更持久嚴重（超過兩週、伴顯著功能障礙與絕望感），與本例的短暫輕微不符。D錯在產後精神病會出現脫離現實的妄想、幻覺與失序行為，屬精神科急症，與本例不符。掌握三者在發生時間、嚴重度與病程上的區別是解題核心。","三者可用時間與嚴重度光譜區分：產後情緒低落（blues）約50–80%產婦於產後3–5天出現、與荷爾蒙劇烈下降及睡眠剝奪有關，症狀輕、多在兩週內自行緩解，處置以支持傾聽與充分休息為主。產後憂鬱（depression）多於產後數週內起、持續逾兩週，有持續低落、失眠或嗜睡、罪惡感、對嬰兒失去興趣甚至傷害念頭，須及早篩檢（如愛丁堡產後憂鬱量表）與治療。產後精神病（psychosis）罕見但危急，起病急、有幻覺妄想與傷嬰傷己風險，須就醫並常需住院。鑑別要抓病程長短與現實感是否保留。",[24,27,29,31],{"term":25,"count":26},"產後精神病",4,{"term":28,"count":10},"產後情緒低落blues",{"term":30,"count":10},"產後憂鬱鑑別",{"term":32,"count":10},"荷爾蒙下降與睡眠剝奪",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-025","陳女士產後小便尚未自解，護理師評估結果為尿瀦留，下列敘述何者正確？",25,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-041","有關 3 歲兒童的心肺復甦術之敘述，下列何者正確？",41,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-maternal-pediatric-055","有關新生兒胎便吸入症候群的敘述，下列何者錯誤？",55,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-maternal-pediatric-013","陳女士懷孕 39 週入院待產，體溫 36.5℃、心跳 74 次／分、呼吸 24 次／分，血壓 120\u002F85 mmHg。有關待產時使用腰椎硬膜外麻醉（epidural analgesia）時，麻醉前後注意事項，下列何者錯誤？",13,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-maternal-pediatric-037","有關日本腦炎的症狀與處置，下列敘述何者錯誤？",37,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-maternal-pediatric-031","有關 10 歲兒童的繪畫發展特色，下列敘述何者正確？",31,114,3,"2026-09-04",1788510721805]