[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-產兒科護理學-013","nurse-114-3-maternal-pediatric-013",114,3,13,"有關產後泌尿系統評估，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"產後膀胱漲滿敏感度增加，產生頻尿現象","產後因體內多餘的細胞外液，產生利尿現象","子宮內膜復舊的自體溶解，產生輕微酮尿","陰道分娩過程中膀胱受創，產生輕微蛋白尿","B",null,[],"本題考點在於產褥期泌尿系統的生理變化。正解 B：懷孕期滯留的細胞外液在產後需排除，加上胎盤循環消失，故產後 12 小時起出現明顯利尿（diuresis），尿量大增。A 錯，產後膀胱對脹尿的敏感度反而「下降」，加上會陰疼痛易造成餘尿與尿滯留，而非頻尿；C 錯，子宮復舊的自體溶解增加的是尿中含氮廢物與惡露，不會產生酮尿（酮尿與飢餓或糖代謝異常有關）；D 錯，正常陰道分娩不致造成膀胱受創而出現蛋白尿，若有蛋白尿應警覺子癇前症。故選 B。","產後利尿是體液重分布的正常現象：懷孕約增加 6～8 L 體液，產後 2～5 天透過利尿與排汗排除，故常見尿量增多與夜間盜汗。膀胱敏感度下降加上分娩壓迫、會陰水腫與疼痛，是產後尿滯留的主因，需注意餘尿與膀胱脹造成子宮上移、影響收縮而增加出血風險。",[24,27,29,32],{"term":25,"count":26},"產後利尿 diuresis",2,{"term":28,"count":26},"產褥期生理變化",{"term":30,"count":31},"細胞外液排除",1,{"term":33,"count":31},"膀胱敏感度下降與尿滯留",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-014","有關母乳哺育，下列敘述何者不適當？",14,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-maternal-pediatric-010","監測待產婦胎心速率時，護理師發現胎心監測紀錄在胎動時有胎心率加速 10 bpm 的情形，下列何項處置較適宜？",10,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-maternal-pediatric-054","劉小妹，妊娠週數 25 週又 5 天出生，體重 680 公克，現住在保溫箱中，目前體溫 36℃，有關維持正常體溫之措施，下列敘述何者錯誤？",54,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",12,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-maternal-pediatric-056","阿帕嘉評分（Apgar score）是最常用來評估新生兒對子宮外生活立即適應的方法。下列何者不是阿帕嘉評分的計分項目？",56,108,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-maternal-pediatric-010","有關受精的敘述，下列何者錯誤？",110,"2026-09-04",1788510762375]