[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-034":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":10},"nurse-110-2-產兒科護理學-034","nurse-110-2-maternal-pediatric-034",110,2,34,"陳女士因痛經求診，護理師的回答，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可自行服用止痛藥","可泡熱水澡以舒緩疼痛","可多吃巧克力、咖啡等食物","多休息，局部熱敷下腹部","D",null,[],"本題考點為原發性痛經(primary dysmenorrhea)的自我照護衛教。依前列腺素引起子宮平滑肌強烈收縮與缺血的機轉，局部熱敷下腹部可促進血流、鬆弛肌肉並緩解疼痛，配合休息最為適當，故選D。鼓勵自行服用止痛藥未附用藥指導，不宜作為首要衛教(A)；巧克力、咖啡等含咖啡因，可能加重痙攣與不適(C)；泡熱水澡雖能放鬆，但針對性與安全性不如局部熱敷，故非最適(B)。判斷關鍵在非藥物、針對性的熱敷加休息。","原發性痛經源於子宮內膜前列腺素(PGF2α)過度分泌，故NSAIDs(如ibuprofen)透過抑制環氧合酶(COX)減少前列腺素而止痛，為藥物首選；熱敷、規律運動、低脂高纖飲食、減少咖啡因為非藥物策略。續發性痛經則需找器質病因(子宮內膜異位、肌瘤)。記憶：原發等於前列腺素、無病灶；續發等於有病灶。",[24,26,28,31],{"term":25,"count":10},"原發性痛經",{"term":27,"count":10},"前列腺素",{"term":29,"count":30},"局部熱敷",1,{"term":32,"count":30},"非藥物緩解",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-035","鄭女士因骨盆腔炎症入院治療，下列敘述何者正確？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"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":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-maternal-pediatric-065","有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",65,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-maternal-pediatric-023","承上題，若配偶亦為海洋性貧血之帶因者，有關胎兒狀況之敘述，下列何者正確？",23,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-114-1-maternal-pediatric-027","有關兒童遭受虐待的護理處置，下列敘述何者錯誤？",27,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-021","葉女士，34 歲，G 1 P 0 ，於子宮頸全開後用力 2 小時，太過疲憊無法用力，準備使用真空吸引。有關真空吸引的使用，下列敘述何者最適當？",21,115,"2026-09-04",1788510729919]