[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-111-2-產兒科護理學-011","nurse-111-2-maternal-pediatric-011",111,2,11,"陳女士，產後 1 小時後評估發現其子宮位置於臍上 2 指且偏向右側，其最有可能的原因為何？",{"A":14,"B":15,"C":16,"D":17},"子宮內胎盤殘留","子宮內積血","子宮收縮不佳","膀胱漲滿","D",null,[],"本題考點在產後子宮底位置偏移的原因判讀。正常產後子宮底應位於臍下、居中且收縮堅實；當子宮底上升至臍上且偏向右側，最典型原因是膀胱脹滿把子宮往上、往右頂，故選D。考點在於「膀胱脹滿→子宮上移偏右」此經典徵象。選項A胎盤殘留與選項B子宮內積血會使子宮底變軟、變大或伴出血，但不會特徵性地把子宮推向右側偏移；選項C子宮收縮不佳表現為子宮底鬆軟、位置偏高但居中，也不會造成向右偏移。三個錯項皆無法解釋「偏右」這個關鍵特徵，唯膀胱脹滿因解剖位置關係會把子宮頂向右上方。處置上須協助排空膀胱後重新評估。","產後評估子宮以「高度、質地、位置」三面向：正常應臍下1指、堅實、居中。膀胱脹滿是產後早期子宮偏移與宮縮不良性出血的常見可逆原因，因膀胱位於子宮前下方，脹滿時將子宮上推並偏向右側。臨床先鼓勵自解或導尿排空後重評，多可恢復居中收縮。記憶：子宮「偏右又偏高」＝先想膀胱。",[24,27,29,31],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":10},"產後子宮底評估",{"term":30,"count":10},"膀胱脹滿",{"term":32,"count":33},"子宮位置偏移",1,[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-012","王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-112-1-maternal-pediatric-028","有關產婦乳腺炎的評估及照護，下列敘述何者錯誤？",28,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-042","小澤，8 歲，罹患氣喘，有關促進小澤在學校生活適應，下列敘述何者不適當？",42,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-maternal-pediatric-010","徐女士 30 歲，G 2 P 1 ，懷孕 35 週。因在家感覺子宮規則收縮疼痛，故入院。檢查發現每隔 10 分鐘宮縮一次，持續 30 秒，強度 40 mmHg，內診子宮頸口開 4 公分，70%變薄，胎位為臀位，主訴有很多水從陰道流出。護理師最優先的照護措施為下列何者？",10,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-115-1-maternal-pediatric-014","吳女士，G2P1AA1，因胎位不正施行剖腹產，採硬膜外麻醉（epidural anesthesis），剛從恢復室返回病房，其先生表示：「我太太何時可以開始吃東西？」下列護理指導何者最適當？",14,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-maternal-pediatric-028","有關新生兒呼吸系統之敘述，下列何者錯誤？",106,"2026-09-04",1788510739076]