[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-026":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-026","nurse-110-1-maternal-pediatric-026",110,1,26,"承上題，此時護理師需優先注意的現象為何？",{"A":14,"B":15,"C":16,"D":17},"排汗多寡","子宮收縮狀態","大便自解情形","腰酸背痛程度","B",null,[],"本題考點是產後尿瀦留時的優先護理關注。考點在於脹滿的膀胱會頂高並推移子宮、妨礙子宮有效收縮，而子宮收縮不良是產後出血的主因，故此時最須優先注意的是子宮收縮狀態，故B正確。A排汗多寡雖為產後利尿排水的表現，但非優先危及安全的問題。C大便自解與D腰酸背痛皆屬次要舒適問題，與立即的出血風險不相關。理解「膀胱脹→子宮收縮受阻→產後出血」這條因果鏈，就能判斷為何監測子宮收縮優先於其他表徵。","產後出血的四大成因以子宮收縮乏力（uterine atony）居首（4T中的Tone），而膀胱過脹是最常見且可逆的收縮阻礙因素：脹尿把子宮頂離骨盆、使其鬆軟偏移而無法有效壓迫胎盤床血管。故發現尿瀦留時，優先評估子宮底的高度、位置與硬度，並協助排空膀胱後再評估子宮是否回到中線變硬。護理排序遵循安全優先原則：先處理可能致命的出血風險（子宮收縮），再顧及舒適需求。排空膀胱後子宮多能恢復收縮，是最直接有效的介入。",[24,26,28,30],{"term":25,"count":10},"膀胱脹阻礙子宮收縮",{"term":27,"count":10},"子宮收縮乏力uterine atony",{"term":29,"count":10},"產後出血優先評估",{"term":31,"count":10},"安全需求優先",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-027","有關新生兒囟門的敘述，下列何者錯誤？",27,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-057","有關早產兒呼吸窘迫症候群的醫療處置，下列何者錯誤？",57,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-015","高女士，G 2 P 0 ，懷孕 38 週，因規則陣痛且自然破水而入院待產。待產期間沒有接受硬脊膜外麻醉，已入院待產 13 小時，目前子宮收縮每 2～3 分鐘一次，持續 50 秒，子宮頸口擴張 8 公分，胎兒高度 −1。請問，高女士此時最不可能出現下列何種徵象或行為反應？",15,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-039","有關細菌性肺炎（bacterial pneumonia）敘述，下列何者正確？",39,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-033","一位 32 週的早產兒在餵食過程中出現腹脹、吐奶和血便。下列那一種情況最有可能是早產兒的併發症？",33,114,3,"2026-09-04",1788510721820]