[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-021","nurse-112-2-maternal-pediatric-021",112,2,21,"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？",{"A":14,"B":15,"C":16,"D":17},"產後荷爾蒙變化的自然現象","產後情緒低落（Postpartum Blue）","產後憂鬱（Postpartum Depression）","產後精神疾患（Postpartum Psychosis）","C",null,[],"本題考點為產後情緒障礙三型的鑑別。李女士產後三週出現體重增加、失眠、動作遲緩嗜睡、對新生兒與事物失去興趣、罪惡感並反覆出現想死念頭，症狀持續且明顯影響功能，符合產後憂鬱（Postpartum Depression）的診斷特徵，故選 C。A 荷爾蒙自然現象無法解釋持續且嚴重的症狀；B 產後情緒低落（Postpartum Blue）多在產後數天內、兩週內自行緩解且不含自殺意念；D 產後精神病（Psychosis）會伴隨脫離現實的妄想、幻覺與思考混亂，本題並無精神病性症狀。","三型時序與嚴重度對比：產後情緒低落約 50～80% 產婦，產後 3～5 天起、兩週內自癒，屬短暫情緒不穩；產後憂鬱可在產後數週至一年內發生，症狀持續逾兩週且含情緒低落、興趣喪失、罪惡感與自殺意念，需就醫評估與治療；產後精神病罕見但屬急症，多於產後兩週內急性發作、伴妄想幻覺。本題含自殺意念且無精神病症，定位為憂鬱。",[24,27,30,32],{"term":25,"count":26},"產後精神病",4,{"term":28,"count":29},"產後憂鬱 (Postpartum Depression)",1,{"term":31,"count":29},"產後情緒低落 (Postpartum Blue)",{"term":33,"count":29},"自殺意念評估",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-022","有關乳腺炎用藥治療及哺乳建議，下列何者最適當？",22,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-maternal-pediatric-038","有關氣喘（asthma）之病因及病理變化，下列敘述何者正確？",38,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-maternal-pediatric-032","有關新生兒身體評估結果，下列何者需進一步追蹤評估？",32,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-maternal-pediatric-030","為 2 歲患有右側中耳炎幼童滴耳藥，下列敘述何者正確？",30,114,{"webId":55,"stem":56,"number":26,"year":57,"session":10},"nurse-106-2-maternal-pediatric-004","有關精液分析檢查的說明，下列何者錯誤？①禁慾 3～7 天再採檢 ②使用保險套和性交中斷法來收集精液 ③留取精液後 2～3 小時內送至檢查地點 ④精液必須冷凍保存",106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-maternal-pediatric-038","常導致愛滋病患肺部感染的病原體為何？",107,"2026-09-04",1788510748161]