[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-011":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-112-2-產兒科護理學-011","nurse-112-2-maternal-pediatric-011",112,2,11,"陳女士 G 1 P 1 ，因前置胎盤採剖腹產，有關產後立即性照護，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"至少每 4 小時監測生命徵象測量一次","評估傷口出血及惡露量情形","評估子宮底位置及張力","每 15 分鐘評估下肢感覺恢復情形","A",null,[],"本題考點在前置胎盤剖腹產的產後立即性照護，屬反向題,要找出錯誤者。依產後立即期(尤其剖腹產合併前置胎盤的出血高風險)的監測頻率，生命徵象與子宮出血應密集監測，而非每 4 小時才測一次,錯誤敘述為 A(至少每 4 小時監測生命徵象太過稀疏，產後立即期通常需每 15 分鐘至每小時密集評估)。B 評估傷口出血與惡露量以早期發現產後出血,正確。C 評估子宮底位置與張力以確認子宮收縮、預防出血,正確。D 因採區域麻醉，每 15 分鐘評估下肢感覺恢復情形,正確。故僅 A 錯誤。","產後立即期是產後出血的高風險時段,前置胎盤因胎盤附著於子宮下段收縮力較差,出血風險更高。監測原則:生命徵象與子宮底、惡露在產後第一小時常每 15 分鐘一次,再依穩定度延長。子宮收縮不良(子宮鬆軟、宮底上升)是產後出血首因,故按摩宮底、評估張力至關重要。麻醉後評估下肢感覺與動作恢復以確保安全下床。記憶「產後立即期=密集監測、防出血」。可連結產後出血四 T 病因(Tone、Trauma、Tissue、Thrombin)複習。",[24,27,30,32,34],{"term":25,"count":26},"產後出血預防",5,{"term":28,"count":29},"前置胎盤剖腹產",1,{"term":31,"count":29},"產後立即期密集監測",{"term":33,"count":29},"生命徵象頻率",{"term":35,"count":29},"子宮底與惡露評估",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-maternal-pediatric-012","張女士，G 1 P 0 ，由先生陪同待產，出現哭叫打罵情形，先生已陪產一天，出現疲憊不堪情形，詢問護理師他該怎麼辦，下列回應何者最不恰當？",12,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-112-3-maternal-pediatric-028","有關賦權（empowerment）在兒科護理照護的應用，下列敘述何者錯誤？",28,3,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-113-2-maternal-pediatric-022","下列那些為重度子癇前症的危險徵候和症狀？①嚴重頭痛 ②視力模糊 ③4 小時尿量為 400 mL ④血清肌酐酸持續下降",22,113,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-114-3-maternal-pediatric-020","有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",20,114,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-106-1-maternal-pediatric-074","小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",74,106,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-107-2-maternal-pediatric-028","有關新生兒出生 2～6 小時過渡期常出現的生理現象，下列何者異常？",107,"2026-09-04",1788510748082]