[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-016","nurse-114-2-maternal-pediatric-016",114,2,16,"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？",{"A":14,"B":15,"C":16,"D":17},"提供支持性胸衣","增加哺乳次數","塗消腫軟膏","教導牽引乳頭","B",null,[],"本題考點在於產後乳房腫脹(engorgement)與乳腺炎的鑑別。依乳房腫脹的表現，產後2至4天乳汁大量分泌時乳房變硬且溫熱，但無紅、痛及發燒，屬正常乳汁充盈；最有效的處置是增加哺乳頻率讓乳汁排空，故選B。A支持性胸衣僅緩解重量不適，無法解決積乳；C消腫軟膏對乳汁鬱積無效，且可能污染乳頭影響哺乳；D牽引乳頭並非緩解腫脹的措施，無助排空。","乳汁移出是解決生理性腫脹的根本，乳汁滯留反而升高乳腺內壓、抑制泌乳。與乳腺炎對比記憶:腫脹為雙側、無發燒;乳腺炎多單側、局部紅腫熱痛併發燒(常大於38.4度)。哺乳前可溫敷助排乳、哺乳後冷敷減腫。",[24,27,29,31],{"term":25,"count":26},"乳房腫脹engorgement",1,{"term":28,"count":26},"乳汁排空原理",{"term":30,"count":26},"乳腺炎鑑別",{"term":32,"count":26},"母乳哺育護理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-maternal-pediatric-017","有關新生兒出生後一週內生理性體重減輕的常見原因，下列何者除外？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-115-1-maternal-pediatric-013","蘇女士 G3P3，懷孕 34 週早期破水緊急剖腹生產，產後第 9 天在家來電主訴：「擠奶 30 分鐘後，身體移動時陰道感覺有東西流出，發現有如 50 元硬幣大小的血塊（如圖示），廁所途中仍持續出血，2 天前開始喝生化湯」，下列解釋何者最不適當？",13,115,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-106-1-maternal-pediatric-007","陳女士，妊娠 32 週，接受腹部超音波掃描發現胎兒身長體重與 1 個月前相同，估算約為 28 週，胎盤功能正常，所有檢查數值均在正常範圍，但陳女士體重並未增加。對此結果陳女士因焦慮而哭泣，下列何項敘述正確？",7,106,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-107-1-maternal-pediatric-045","兒童的復發性腹痛（recurrent abdominal pain）會具有下列何項特徵？①腹痛會出現在肚臍周圍 ②是一種轉移性的腹痛 ③解出鬆軟的大便 ④腹痛時間是不規律的 ⑤會伴隨體溫升高",45,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-maternal-pediatric-009","懷孕 11 週的黃女士向護理師抱怨有頻尿的現象，可是並無解尿困難的情形，下列何者是較適當的護理指導？",9,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-043","臺灣發展遲緩早期療育實施服務的流程，主要負責協調整合與管理的窗口為何？",43,109,"2026-09-04",1788510760074]