[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-2-產兒科護理學-021","nurse-111-2-maternal-pediatric-021",111,2,21,"有關產後生命徵象的評估，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"產後心輸出量增加，不易發生姿位性低血壓","產後心輸出量增加，最初 6～10 天常發生心跳過緩","會陰傷口痛、子宮收縮痛，使呼吸速率下降","分娩時用力與脫水，會導致體溫升高至 39 ℃","B",null,[],"本題考點在產後生命徵象的生理性變化。產後因子宮胎盤循環中止、組織間液回流，心輸出量在最初短暫增加，反射性引起迷走神經張力上升，故產後最初6～10天常見生理性心跳過緩（每分鐘50～70次），屬正常，故選B。考點在於產後心搏過緩為正常代償。選項A說「心輸出量增加、不易發生姿位性低血壓」錯誤，產後因血液重新分布與失血，反而較易發生姿位性低血壓；選項C會陰痛與子宮收縮痛不會使呼吸速率下降，呼吸多回復正常或因疼痛略增；選項D分娩用力與脫水可致體溫短暫略升，但一般不超過38℃，達39℃應懷疑感染而非生理現象。三個錯項各誤述血壓、呼吸與體溫變化，唯B正確描述產後心搏過緩。","產後心血管變化：分娩後子宮血流回歸體循環加上組織間液動員，血容量與心輸出量短期增加，觸發壓力反射使心跳代償性減慢（產後心搏過緩），約1週恢復。體溫在產後24小時內可因脫水／用力略升但≤38℃，若≥38℃持續超過24小時且產後10天內出現，須警覺產褥感染。姿位性低血壓因血液重分布與失血而較易發生，改變姿勢宜緩慢。",[24,27,29,32,34],{"term":25,"count":26},"姿位性低血壓",3,{"term":28,"count":10},"產後心搏過緩",{"term":30,"count":31},"產後生命徵象",1,{"term":33,"count":31},"心輸出量變化",{"term":35,"count":31},"產後體溫",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-022","有關泌乳機轉的敘述，下列何者正確？",22,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-112-1-maternal-pediatric-038","王女士有打噴嚏、咳嗽、大笑所引起無法自主控制膀胱的漏尿，是屬於下列那種尿失禁？",38,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-052","小凱為 26 週大的早產兒，有關維持早產兒體溫的照護措施，下列敘述何者不適當？",52,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-3-maternal-pediatric-020","下列何種情況易導致待產婦女發生子宮內翻（Uterine Inversion）？①娩出胎盤時過度牽引臍帶 ②過早注射 Methergin ③在子宮底施加壓力（fundal pressure） ④胎盤早期剝離",20,113,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-115-1-maternal-pediatric-024","進入青春期的 17 歲少女一直無月經來潮，其可能原因為何？",24,115,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-2-maternal-pediatric-038","有關生殖器疱疹之敘述，下列何者正確？",106,"2026-09-04",1788510739166]