[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-035":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":10},"nurse-112-2-產兒科護理學-035","nurse-112-2-maternal-pediatric-035",112,2,35,"承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"為早期產後出血，因產道撕裂傷所致","為早期產後出血，因子宮收縮乏力所致","為晚期產後出血，係胎盤碎片殘留子宮","為晚期產後出血，係異常高張力宮縮","A",null,[],"本題考點為早期產後出血的病因鑑別。承上題產婦產後觸診子宮堅硬、宮底與臍平且置中、膀胱未脹尿，卻持續流出鮮紅血、半小時濕透半片產墊。考點在於：子宮已收縮良好（堅硬、置中）卻仍鮮紅出血，指向產道撕裂傷而非子宮收縮乏力，且發生在產後 24 小時內屬早期產後出血，故選 A。B 錯誤，子宮乏力時子宮應鬆軟、上升偏移，與堅硬置中不符；C、D 錯誤，晚期產後出血指產後 24 小時至六週，本題為產後觀察期的即時出血，屬早期而非晚期。","產後出血鑑別的關鍵在觸診子宮張力：子宮鬆軟膨大偏移→子宮收縮乏力（最常見病因）；子宮堅硬置中卻鮮紅持續出血→產道或子宮頸撕裂傷。時間軸上，24 小時內為早期（原發性）產後出血，多為子宮乏力或撕裂傷；24 小時後至六週為晚期（續發性），常因胎盤碎片殘留或子宮復舊不良。承上題急產風險正是撕裂傷，前後呼應。",[24,26,29,31],{"term":25,"count":10},"早期產後出血",{"term":27,"count":28},"產道撕裂傷 vs 子宮收縮乏力",1,{"term":30,"count":28},"子宮張力觸診",{"term":32,"count":28},"產後出血時間分類",[34,38,42,46,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-036","女性月經來潮時的衛生清潔措施，下列何者不適當？",36,{"webId":39,"stem":40,"number":10,"year":41,"session":28},"nurse-113-1-maternal-pediatric-002","有關妊娠期血液檢查之敘述，下列何者正確？",113,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-113-2-maternal-pediatric-046","王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",46,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-114-3-maternal-pediatric-044","林小妹，國小 5 年級，罹患第 1 型糖尿病（type 1 diabetes mellitus），有關糖尿病居家護理指導，下列敘述何者正確？",44,114,3,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-maternal-pediatric-018","李女士 G 3 P 0 ，已入院待產 12 小時。她說：「我好想用力哦！」，此時護理師最佳的評估是下列何者？",18,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-maternal-pediatric-052","幼年型類風濕性關節炎兒童的護理措施，下列敘述何者正確？",52,107,"2026-09-04",1788510748271]