[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-114-2-產兒科護理學-012","nurse-114-2-maternal-pediatric-012",114,2,12,"吳女士，G 1 P 1 ，剖腹產後第 2 天，詢問：「我肚子脹脹的、不舒服，可以不要下床嗎？」下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"收集吳太太不想下床的原因，依醫囑給予止痛藥","給予漸進式飲食指導，可等待腹脹改善後再下床","告知吳女士先暫時禁食，待傷口檢查後再行決定是否下床","進行腸道評估，鼓勵下床活動來緩解腹脹不適","D",null,[],"本題考點在於剖腹產術後腸蠕動恢復與早期活動的照護。依術後生理,麻醉與手術操作使腸蠕動暫時抑制而產生腹脹,促進其恢復最有效的方式是早期下床活動;故護理師應先進行腸道評估(聽腸蠕動音、詢問排氣情形),並鼓勵下床活動以刺激腸蠕動、緩解腹脹,選 D。A 錯在腹脹的根本是腸蠕動未恢復,單給止痛藥且順應不下床無法改善脹氣。B 錯在讓病人等腹脹自行改善後再下床,與『下床活動有助腸蠕動』的原則相反。C 錯在術後第 2 天無故禁食並不利腸道功能恢復,且無下床活動反而延遲腸道復原。比對後 D 兼顧評估與正確處置。","術後腸阻(postoperative ileus)靠早期活動、早期進食與咀嚼口香糖等促進腸蠕動恢復。下床活動同時預防術後併發症:減少深部靜脈栓塞、肺擴張不全與便祕。護理先評估腸蠕動音與有無排氣,確認無禁忌後採漸進式離床,並注意姿位性低血壓與傷口疼痛控制以利活動。",[24,27,30,33],{"term":25,"count":26},"早期下床活動",5,{"term":28,"count":29},"剖腹產術後照護",3,{"term":31,"count":32},"術後腸阻",1,{"term":34,"count":32},"腸蠕動評估",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-maternal-pediatric-013","有關親子同室（rooming-in）的敘述，下列何者錯誤？",13,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-maternal-pediatric-009","有關待產期間使用電子胎心音監測之敘述，下列何者錯誤？",9,115,{"webId":46,"stem":47,"number":29,"year":48,"session":32},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-107-1-maternal-pediatric-041","依據民國 104 年修正之「兒童及少年福利與權益保障法」，此法所稱之兒童及少年是指未滿幾歲之人？",41,107,{"webId":55,"stem":56,"number":26,"year":57,"session":10},"nurse-108-2-maternal-pediatric-005","有關運用廓清式呼吸之敘述，下列何者錯誤？",108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-039","林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",39,109,"2026-09-04",1788510760037]