[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-114-1-產兒科護理學-013","nurse-114-1-maternal-pediatric-013",114,1,13,"林女士，G 1P 1，剖腹生產後一週，主訴全身發熱不舒服，身體檢查沒有明顯身體其他部位疼痛情況。若是此發熱不適與子宮復舊有關，下列何者為最可能的子宮復舊評估結果？",{"A":14,"B":15,"C":16,"D":17},"腹部觸診時，約在下腹部，接近恥骨聯合處觸摸到子宮底","按摩後子宮硬度及大小有如棒球","觸診子宮時，會有壓迫感，但不會明顯疼痛不適","子宮底位於肚臍下五橫指，惡露呈暗咖啡色帶有臭味","D",null,[],"本題考點在於子宮復舊不良合併感染的評估表現。剖腹產後一週正常子宮底應已降至恥骨聯合附近甚至觸摸不到，惡露轉為淡黃或白色且無臭；本例子宮底仍在肚臍下五橫指、惡露暗咖啡色且帶臭味，顯示子宮收縮不良、復舊延遲並可能子宮內膜炎，最能解釋發熱不適，選 D。A 子宮底接近恥骨聯合屬正常復舊；B 按摩後硬如棒球代表收縮良好；C 觸診有壓迫感但不明顯疼痛亦屬正常，皆不符合與復舊有關的發熱，故選 D。","產後子宮底約每天下降 1 橫指，約產後 10–14 天降入骨盆而腹部觸不到；惡露依序為紅色（1–3 天）、漿液（4–10 天）、白色（10 天後）。復舊不良常見於子宮收縮乏力、胎盤殘留、感染，表現為子宮底偏高、惡露量多色暗且臭、伴發燒。臭味惡露加發燒是產褥感染的重要線索。",[24,27,30,33],{"term":25,"count":26},"子宮復舊",16,{"term":28,"count":29},"惡露變化",3,{"term":31,"count":32},"子宮內膜炎",2,{"term":34,"count":10},"產褥感染",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-maternal-pediatric-014","下列何者最適合採用泌乳期無月經法（LAM）作為避孕方法？",14,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-114-3-maternal-pediatric-010","王女士，G 1 P 0 ，懷孕 41 週，子宮頸口已開全。護理師等王女士出現想用力的感覺時，開始鼓勵她順著感覺向下用力，並依自己舒適的方式，發出聲音用力。有關護理師教導的這種方式，相較於傳統的閉氣用力，下列敘述何者錯誤？",10,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-115-2-maternal-pediatric-004","趙女士，29 歲，曾流產一次，有一個 4 歲大的兒子（懷孕 40 週出生），一個剛滿 1 歲的女兒（懷孕 36 週出生），現因再次懷孕而到產科門診檢查，病歷記錄趙女士的孕產史為：",4,115,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-2-maternal-pediatric-072","罹患胰島素依賴型糖尿病（IDDM）的 12 歲病童，參加營養衛教課，當病童能說出下列何者，表示護理師此次衛教已經成功？",72,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-maternal-pediatric-070","張小弟，5 個月大，因呼吸喘、痰液多而入院，診斷為細支氣管炎（Bronchiolitis），入院後需抽痰，有關抽痰護理的敘述下列何者正確？",70,109,"2026-09-04",1788510757740]