[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-024","nurse-111-2-maternal-pediatric-024",111,2,24,"有關產後子宮復舊（uterine involution），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"子宮底每天下降一指寬，約產後 5 天降至骨盆腔","除胎盤位置外，子宮內膜復舊約需 6 週","蛋白質自體溶解使子宮細胞數目減少而復舊","胎盤部位是由剝落過程而復舊，所以沒有疤痕形成","D",null,[],"本題考點在產後子宮復舊的生理過程。胎盤剝離後的子宮內膜是經由「剝落與再生」方式修復，新的子宮內膜由基底層向上再生覆蓋，不留疤痕，故選D正確。考點在於胎盤部位以再生方式復舊而不結疤。選項A子宮底每天下降約一橫指，約產後10～14天才降入骨盆腔而無法自腹部觸及，「5天降至骨盆腔」時間過快錯誤；選項B子宮內膜（除胎盤位置外）復舊約需3週，胎盤部位才需約6週，選項把時間與部位對應寫錯；選項C子宮復舊是既有肌細胞「體積縮小」（自體溶解使胞漿減少）而非「數目減少」，細胞數目大致不變。三個錯項在下降速度、復舊時程與細胞變化上各有錯誤。","子宮復舊三機轉：肌纖維收縮壓迫血管止血、肌細胞自體溶解（蛋白酶分解胞漿使細胞縮小、數目不變）、子宮內膜再生。子宮底產後即約臍平，每日下降約一指，約產後10～14天沉入骨盆。內膜再生除胎盤部位約3週，胎盤附著處因面積大需約6週且靠剝落再生不結疤——這也是產後惡露排出的來源。惡露由紅（rubra）轉漿（serosa）再轉白（alba）反映復舊進程。",[24,27,30,32,34],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":29},"胎盤部位再生",1,{"term":31,"count":29},"子宮內膜修復",{"term":33,"count":29},"自體溶解",{"term":35,"count":29},"子宮底下降",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-025","吳女士，G 1 P 1 ，產後第三天，計畫採純母乳哺育，詢問：「哺乳是否可以避孕？」下列護理指導何者最適當？",25,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-maternal-pediatric-041","面對自閉症（Autism）病童住院，下列護理措施何者最適當？",41,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-055","黃小妹為 35 週出生的早產兒，罹患高膽紅素血症（Hyperbilirubinemia），有關傳統照光機執行照光治療的護理措施，下列敘述何者錯誤？",55,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-023","重度子癇前症孕婦之飲食指導，下列建議何者最適當？",23,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-115-1-maternal-pediatric-027","小妍，16 歲，是長期厭食症患者，此次嚴重營養不良而入院治療，有關厭食症的症狀或行為，下列敘述何者最不適當？",27,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-041","兒科護理師的角色和功能，下列敘述何者錯誤？",106,"2026-09-04",1788510739193]