[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-021":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":10},"nurse-114-2-產兒科護理學-021","nurse-114-2-maternal-pediatric-021",114,2,21,"王女士，產後第 4 天哺餵母乳中，左小腿出現明顯疼痛，靜脈血管攝影檢測後確診為深層血栓靜脈炎。有關身體評估與臨床處置的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"出現呼吸困難、喘、胸痛、臉色蒼白，應懷疑為肺栓塞","建議多按壓及熱敷疼痛處以改善腿部疼痛","為降低產後出血，抗凝血劑治療至多兩週","宜服用 Warfarin 以避免血栓再度發生","A",null,[],"本題考點在於深層靜脈血栓性靜脈炎的併發症辨識與處置。依血栓可能脫落隨靜脈回流卡入肺動脈的機轉，若出現呼吸困難、喘、胸痛、臉色蒼白，應高度懷疑肺栓塞，敘述正確故選A。B錯，急性血栓期禁止按壓與熱敷患處，以免血栓脫落成栓子；C錯，抗凝血治療常需持續數個月而非至多兩週；D錯，哺乳期急性期首選heparin類，Warfarin具致畸性且非此情境首選處置。","深層靜脈栓塞最致命的併發症即肺栓塞,故急性期臥床、抬高患肢、禁按摩熱敷是鐵則。Heparin不通過胎盤與乳汁、起效快,是孕產期首選抗凝劑;Warfarin可致胎兒畸形。評估可見患肢腫脹、發紅、Homan氏徵象。",[24,26,29,31],{"term":25,"count":10},"肺栓塞",{"term":27,"count":28},"深層靜脈血栓",1,{"term":30,"count":28},"抗凝血治療",{"term":32,"count":28},"heparin與warfarin",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-maternal-pediatric-022","林女士第一胎，子宮頸口全開後，即使在無子宮收縮時，也可在會陰部看到胎兒頭髮，此現象稱為：",22,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-maternal-pediatric-018","有關正常新生兒的呼吸特徵，下列何者錯誤？",18,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-maternal-pediatric-012","蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",12,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-maternal-pediatric-050","有關為白血病病童輸注紅血球濃縮液（packed RBC）的護理敘述，下列何者錯誤？",50,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-maternal-pediatric-014","照顧處於過渡期之待產婦，下列何者為最適當的護理措施？",14,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-048","婷婷 3 歲，喜歡吸吮大拇指，但是擔心被母親發現，所以總是以另一手遮掩，婷婷覺得自己隱藏得很好，別人不會發現。她的行為是下列何種認知思考特性的反應？",48,109,"2026-09-04",1788510760116]