[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-031","nurse-112-2-maternal-pediatric-031",112,2,31,"江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",{"A":14,"B":15,"C":16,"D":17},"為深層血栓靜脈炎，應教導其在左小腿疼痛處多熱敷並按摩","霍曼氏徵象（Homan’s sign）若為陽性反應，依醫囑給予抗凝血劑，並密切觀察出血情形","霍夫曼技術（Hoffman’s technique）評估為陽性，應抬高床尾，避免血栓造成肺栓塞","為深層血栓靜脈炎，鼓勵多下床活動以促進血液回流","B",null,[],"本題考點為深層靜脈栓塞（DVT）的評估與處置。江女士久站合併靜脈曲張，產後小腿伸直時疼痛、觸診壓痛，屬 DVT 高風險表現。考點在於霍曼氏徵象（Homan's sign，背屈踝關節誘發小腿疼痛）若為陽性，應依醫囑給予抗凝血劑並密切觀察出血情形，故選 B。A 錯誤，DVT 禁止按摩患肢，以免血栓脫落引發肺栓塞；C 錯誤，霍夫曼技術（Hoffman's technique）是矯正凹陷乳頭的方法，與 DVT 無關；D 錯誤，DVT 急性期不應鼓勵下床活動患肢，以免栓子脫落。","產褥期因凝血因子上升、血流鬱滯與血管壓迫，屬 Virchow 三要素齊備的高凝狀態，DVT 風險升高。急性 DVT 照護原則：臥床抬高患肢、禁止按摩、依醫囑抗凝（如 heparin），並監測出血徵象與肺栓塞警訊（突發胸痛、呼吸困難）。霍曼氏徵象敏感度不高，臨床仍以影像（都卜勒超音波）確診。切勿把霍夫曼技術（乳頭凹陷矯正）與霍曼氏徵象混淆。",[24,27,29,31],{"term":25,"count":26},"深層靜脈栓塞 (DVT)",1,{"term":28,"count":26},"霍曼氏徵象 (Homan's sign)",{"term":30,"count":26},"抗凝血劑與出血監測",{"term":32,"count":26},"肺栓塞預防",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-048","有關發展性髖關節發育不良之護理措施，下列敘述何者錯誤？",48,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-042","有關扁桃腺切除（tonsillectomy）術後飲食之護理指導，下列敘述何者適當？",42,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-040","何小妹，8 歲，罹患先天性心臟病，需服用毛地黃，母親詢問服藥注意事項，下列回答何者錯誤？",40,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-014","高女士第一胎，待產時子宮收縮每 5～7 分鐘一次，持續時間 30～40 秒，強度為輕微～中度，子宮頸口為 2～3 公分，少許陰道出血，尚未破水，神情顯得愉快。此時適宜的護理指導為何？",14,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-048","協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",107,"2026-09-04",1788510748244]