[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-1-產兒科護理學-015","nurse-113-1-maternal-pediatric-015",113,1,15,"有關產後婦女之情緒照顧，下列護理指導何者不適當？",{"A":14,"B":15,"C":16,"D":17},"初產婦出現哭泣不安及缺乏育兒信心為產後憂鬱症，應儘速就醫","在接受期（taking-in phase），鼓勵產婦陳述生產經驗，接受其感受，必要時可澄清其疑慮","在緊執期（taking-hold phase），鼓勵參與及學習新生兒照護","產婦即使進入放手期（letting-go phase），仍可能有不自覺的哀傷情緒","A",null,[],"本題考點在於產後情緒照顧與 Rubin 產後心理適應階段的衛教，屬反向題，須找出不適當者。不適當敘述為 A「初產婦出現哭泣不安及缺乏育兒信心即為產後憂鬱症，應儘速就醫」。此說法把常見且短暫的『產後情緒低落（baby blues）』過度診斷為產後憂鬱症，產後情緒低落多在產後數天出現、約兩週內自行緩解，屬正常適應，不宜輕率貼上憂鬱症標籤，故不適當為答案。B 正確，接受期（taking-in）產婦以自身需求為主，鼓勵陳述生產經驗、接受其感受。C 正確，緊執期（taking-hold）宜鼓勵參與並學習新生兒照護。D 正確，即使進入放手期（letting-go）仍可能有失落哀傷情緒。故選 A。","概念釐清：產後情緒低落（baby blues）約 50～80% 產婦會出現，特徵為情緒起伏、易哭、疲憊，產後 3～5 天達高峰、約兩週內緩解，屬荷爾蒙驟降的正常反應，處置以支持傾聽為主；產後憂鬱症（postpartum depression）則症狀更重、持續超過兩週且影響功能，才需醫療介入評估。Rubin 三階段：taking-in（依賴、回顧生產）、taking-hold（自主、學習照護、易受挫需正向回饋）、letting-go（重新定義角色關係）。分辨『正常適應』與『病理狀態』是本題核心。",[24,26,28,30],{"term":25,"count":10},"產後情緒低落baby blues",{"term":27,"count":10},"產後憂鬱症鑑別",{"term":29,"count":10},"Rubin產後心理適應階段",{"term":31,"count":10},"接受期與緊執期",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-016","婦女產後痛（after pain）主要是評估下列那一個器官或組織之健康問題？",16,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-012","有關產後憂鬱症（postpartum depression）的敘述，下列何者錯誤？",12,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-006","護理師為 32 週的李女士執行無壓力試驗（Non-stress test, NST），結果為 30 分鐘內有 5 次以上胎動，胎心率基準線由 130 bpm 上升至 150 bpm，伴隨每次胎動，胎心率增加 20 次，且持續 20 秒以上，下列何者為其判讀結果？",6,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-048","有關早產兒的臨床表徵，下列何者正確？",48,107,{"webId":59,"stem":60,"number":47,"year":61,"session":47},"nurse-108-2-maternal-pediatric-002","下列那一種細菌或病毒感染，為罹患子宮頸癌的高危險群？",108,"2026-09-04",1788510750765]