[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-007":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-110-2-產兒科護理學-007","nurse-110-2-maternal-pediatric-007",110,2,7,"妊娠各時期的孕婦心理反應會因生理的改變而產生變化。第一妊娠期婦女的心理反應，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"憂喜參半的矛盾心理","接受懷孕事實","準備新角色","身體界限的改變","A",null,[],"本題考點是孕期母親心理反應的階段性變化(Rubin的孕期心理任務)。第一妊娠期(0–12週)胎兒尚未有明顯動作、身形變化不大,孕婦常對『要不要這個孩子、能否勝任』充滿不確定,呈現既期待又焦慮的『憂喜參半矛盾心理(ambivalence)』,故選A。B『接受懷孕事實』多發生於第二妊娠期,隨胎動出現、胎兒『變得真實』而接納。C『準備新角色』與D『身體界限的改變(擔心生產、身體形象改變)』屬第三妊娠期,臨近分娩時的心理任務。故第一期最貼切的是矛盾心理。","對照記憶:第一期=矛盾(ambivalence),以『確認懷孕、接受懷孕』為任務;第二期=以胎兒為焦點,胎動使胎兒真實化、母親開始『接受胎兒』並產生依附;第三期=角色演練與分離準備(nesting築巢行為、擔心生產安全、身體界限與形象改變)。矛盾心理是正常反應,不代表排斥懷孕;護理評估重在傾聽與正常化其情緒。此題常與『接受懷孕(第一期任務)』混淆——注意選項B寫的是『接受懷孕事實』作為此期最主要『心理反應』時,命題偏向以矛盾情緒為第一期最具代表性的答案。",[24,27,29,31],{"term":25,"count":26},"Rubin孕期心理任務",1,{"term":28,"count":26},"第一妊娠期矛盾心理(ambivalence)",{"term":30,"count":26},"胎動與胎兒真實化",{"term":32,"count":26},"第三期角色準備",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-008","李女士月經週期約 28～45 天，產前門診剛確定懷孕，最後一次月經來是上個月 3 號，下列何者為最準確的預產期推估法？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-maternal-pediatric-024","李女士，採脊髓阻斷麻醉剖腹產，產後第 1 天主訴噁心感，起床的時候頭很痛，躺下頭痛就好些。下列何項護理指導較適當？",24,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-maternal-pediatric-038","有關精液檢查的敘述，下列何者錯誤？",38,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-2-maternal-pediatric-076","吳小弟，5 個月大，持續腹瀉，有關護理指導的敘述，下列何者較不適當？",76,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-050","有關單側性發展性髖關節發育不良（developmental hip dysplasia, DDH）病童的臨床表徵，下列何者錯誤？",50,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-115-1-maternal-pediatric-044","小均，13 歲，診斷為第一型糖尿病，有關胰島素注射的護理指導，下列敘述何者最適當？",44,115,"2026-09-04",1788510729650]