[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-1-產兒科護理學-012","nurse-113-1-maternal-pediatric-012",113,1,12,"王女士，初產婦，陰道生產，採純母乳哺育，產後6週重返職場的一週後，主訴發燒38℃，右側乳房情況如圖所示，觸診溫熱且有痛感。最可能的診斷是？",{"A":14,"B":15,"C":16,"D":17},"因為剛剛返回工作狀態，所以最可能是壓力性乳腺管阻塞（blocked ducts）","因為幾乎整個乳房大面積發紅，所以最可能是乳房腫脹（engorgement）","因為乳頭可見傷口，所以最可能是乳腺炎（mastitis）","因為乳房3、4點鐘方向有水囊狀感，所以最可能是乳房膿瘍（breast abscess）","C",null,[21],"\u002Fq-img\u002Fnurse-113-1-maternal-pediatric-012.jpg","這題考產後哺乳併發症的鑑別。王女士產後 6 週、重返職場一週後發燒 38℃,圖中右乳上方及外側有一大片界線不清的紅斑、乳頭還看得到裂傷結痂,觸診溫熱且會痛——這是乳腺炎(mastitis)的典型表現:單側、局部紅腫熱痛,加上發燒等類流感的全身症狀。成因通常是重返職場後哺乳中斷、乳汁鬱積,再加上乳頭皸裂的傷口讓細菌趁虛而入,故選(C)。鑑別其他選項:(A)乳腺管阻塞多半只有局部硬塊、不會發燒也不會大片發紅;(B)乳房腫脹(engorgement)好發在產後 3～5 天、且是「雙側」脹,與這裡產後 6 週、單側不符;(D)乳房膿瘍要摸到局部波動感的膿包才算,是乳腺炎沒有及時處理才進一步化膿的併發症,此時還不到那個階段。看到「單側+發燒+乳頭傷口」就先想乳腺炎。","",[25,28,30],{"term":26,"count":27},"乳腺炎",3,{"term":29,"count":10},"產後哺乳併發症",{"term":31,"count":10},"乳頭皸裂感染",[33,37,41,46,50,55],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-013","蔡女士，初產婦，因產程遲滯而行剖腹生產，新生兒出生體重3,800公克。產婦計畫要完全哺餵母乳，擔心自己奶水不足，因為從生產至今已兩天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。有關蔡女士對奶量的擔心，下列措施何者不適當？",13,{"webId":38,"stem":39,"number":40,"year":9,"session":27},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",9,{"webId":42,"stem":43,"number":27,"year":44,"session":45},"nurse-114-2-maternal-pediatric-003","下列何者是胎兒第一個有功能的器官？",114,2,{"webId":47,"stem":48,"number":10,"year":49,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-107-1-maternal-pediatric-045","兒童的復發性腹痛（recurrent abdominal pain）會具有下列何項特徵？①腹痛會出現在肚臍周圍 ②是一種轉移性的腹痛 ③解出鬆軟的大便 ④腹痛時間是不規律的 ⑤會伴隨體溫升高",45,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-1-maternal-pediatric-079","協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",79,108,"2026-09-04",1788510750747]