[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-2-產兒科護理學-015","nurse-114-2-maternal-pediatric-015",114,2,15,"產婦產後第一次下床活動前，下列何者為最優先的護理評估？",{"A":14,"B":15,"C":16,"D":17},"生命徵象","宮縮情況","血栓試驗","惡露性質","A",null,[],"本題考點在於產後首次下床活動前的優先護理評估。依安全原則,產後婦女因失血、臥床及血液再分布,首次下床易發生姿位性低血壓與頭暈、跌倒;故下床前最優先應評估生命徵象(尤其血壓與脈搏),確認循環穩定後再協助漸進式離床,故選 A。B 宮縮情況與 D 惡露性質屬產後子宮復舊與出血監測的例行評估,重要但非下床安全的首要考量。C 血栓試驗並非首次下床前的常規優先評估項目。比對後,唯生命徵象直接關係下床當下的安全與跌倒風險,應列為最優先。","產後首次離床採漸進式(坐起→床緣垂足→站立→行走),每一步觀察有無頭暈、冒冷汗、臉色蒼白等姿位性低血壓徵象。評估生命徵象確認血壓、脈搏穩定是把關第一步,可預防因暫時性腦部灌流不足導致的暈厥跌倒。同時衛教起身動作放慢、有人陪同,以策安全。",[24,27,30,32],{"term":25,"count":26},"姿位性低血壓",3,{"term":28,"count":29},"產後首次下床",1,{"term":31,"count":29},"生命徵象評估",{"term":33,"count":29},"跌倒預防",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-016","陳女士，產後第三天，早上睡覺起來向護理師表示：「我的乳房變硬，摸起來熱熱的，但不會痛。」下列護理措施何者最適當？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-maternal-pediatric-012","陳女士，28 歲，G1P1。採用剖腹產分娩並表示渴望與新生兒能有共處時刻，下列處置何者錯誤？",12,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-maternal-pediatric-044","李小弟， 6 個月大，醫師開立醫囑為 Gentamycin 4.8mg I.V. drip q8h ，每毫升（mL）含 Gentamycin 40mg ，請問護理師每次給藥應該抽多少藥量？",44,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-maternal-pediatric-008","下列何種方式是依據懷孕婦女子宮底高度位置推估預產期？",8,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-maternal-pediatric-042","下列何者較不屬於兒童遭受虐待／疏忽的常見徵象？",42,109,"2026-09-04",1788510760069]