[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-020","nurse-112-2-maternal-pediatric-020",112,2,20,"有關產褥期身心調適的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"生殖器官的復舊需要四～六週時間","又稱為第四孕期；以強化母嬰一體調整與恢復的概念","子宮頸口一週後會趨近閉合，是一種生理上進行性變化","子宮體積的減少，與自體溶解有關","C",null,[],"本題考點為產褥期（puerperium）身心調適的正確概念。考點在於子宮復舊屬「退行性（退化性）變化」而非進行性變化，且復舊是子宮縮小回復孕前狀態的過程。故錯誤敘述為 C，將子宮頸的閉合描述為「進行性變化」用詞錯誤，應為退行性復舊。A 生殖器官復舊需四～六週，正確；B 產褥期又稱第四孕期、強調母嬰調適與恢復，正確；D 子宮體積減少與肌細胞自體溶解（autolysis）有關，正確。","產後子宮復舊靠三機轉：子宮肌纖維收縮、細胞自體溶解使胞漿蛋白分解、以及子宮內膜再生。這些都是使組織「退化縮小」的退行性變化。子宮頸在產後約一週內管內口趨近閉合，但外口因生產永久留下橫裂痕。「進行性 vs 退行性」是常見用詞陷阱，復舊本質是退化縮小。",[24,27,29,31],{"term":25,"count":26},"產褥期復舊 (involution)",1,{"term":28,"count":26},"退行性變化",{"term":30,"count":26},"自體溶解 (autolysis)",{"term":32,"count":26},"第四孕期",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-021","李女士，產後三週，表示產後至今體重增加 5 公斤，失眠睡不好，動作遲緩且嗜睡，對任何事物及新生兒照護都缺乏興趣，覺得很有罪惡感，加上自己坐月子缺乏幫手，常常出現想死的念頭。針對李女士的情形，下列評估何者最適當？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-037","有關腮腺炎之照護措施，下列敘述何者錯誤？",37,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-031","有關厭食症的敘述，下列何者錯誤？",31,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-029","小華，3 歲，住院期間常常鬧脾氣，有關設計治療性遊戲降低其住院反應，下列敘述何者最適當？",29,114,{"webId":54,"stem":55,"number":42,"year":56,"session":10},"nurse-106-2-maternal-pediatric-003","姜女士懷孕 12 週，最後一次月經（LMP）為民國 104 年 2 月 25 日，懷孕前月經週期均約 30 天左右，其預產期約在何時？",106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-2-maternal-pediatric-037","王女士第一胎，目前在第一產程的過渡期，隨著越來越密集的字宮收縮，王女士顯得很焦慮不安。在床邊陪伴的王先生詢問護理師：「我的太太很不舒服，我也不知道怎麼幫忙，我最好到產房外面等待？」，此時護理師最適當的回答為何？",107,"2026-09-04",1788510748147]