[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-016":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-113-1-產兒科護理學-016","nurse-113-1-maternal-pediatric-016",113,1,16,"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？",{"A":14,"B":15,"C":16,"D":17},"乳房、乳頭疼痛","會陰、會陰傷口疼痛","子宮、子宮間歇性收縮不適感","肛門、痔瘡痛","C",null,[],"本題考點在於產後痛（after pain）的來源器官辨識。依產後生理，產後痛是子宮為恢復孕前大小而發生的間歇性收縮（子宮復舊，involution）所引起的下腹陣發性不適，故評估對象為 C「子宮、子宮間歇性收縮不適感」。A「乳房、乳頭疼痛」屬哺乳相關不適，非產後痛。B「會陰、會陰傷口疼痛」是產道裂傷或會陰切開的傷口痛，來源不同。D「肛門、痔瘡痛」屬產後痔瘡問題，亦非產後痛定義。判別關鍵在『產後痛＝子宮收縮痛』，故正解為 C。","生理延伸：產後痛源於子宮復舊時的收縮，經產婦與哺乳時尤其明顯——哺乳刺激乳頭促使催產素（oxytocin）分泌，除了噴乳反射也同時引發子宮收縮，故產婦常在餵奶時感到下腹絞痛，這其實是子宮收縮良好、有助減少出血的正向徵象。經產婦因子宮肌肉張力較鬆弛，收縮更費力、產後痛更明顯。護理可衛教這是正常現象、可搭配呼吸放鬆或依醫囑給止痛，並說明其止血意義以減輕焦慮。",[24,27,29,31],{"term":25,"count":26},"催產素與子宮收縮",2,{"term":28,"count":10},"產後痛after pain",{"term":30,"count":10},"子宮復舊involution",{"term":32,"count":10},"哺乳時下腹痛",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-017","抱起新生兒放入磅秤測量體重，新生兒四肢出現對稱性的外展和伸直，大拇指與食指呈C字形，是下列那種反射表現？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-013","有關哺乳期各種避孕法，下列敘述何者錯誤？",13,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-007","王女士，G 1 P 0 ，已待產 13 小時，目前子宮頸口開 8 公分，呼吸急促，每次宮縮時皆以手拍打床面，身體呈現精疲力竭、情緒失控、出汗等現象，下列護理措施何者正確？",7,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-049","有關誤食毒物對兒童身體器官功能損傷的描述，下列何者正確？",49,107,{"webId":59,"stem":60,"number":42,"year":61,"session":26},"nurse-108-2-maternal-pediatric-003","李女士，G 1 P 0 ，懷孕 25 週，請教護理師：「我身體上從肚臍到會陰部有一條褐色的線，這正常嗎？什麼時候會消失？」，護理師的回答，下列何者為宜？",108,"2026-09-04",1788510750779]