[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-020":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-114-3-產兒科護理學-020","nurse-114-3-maternal-pediatric-020",114,3,20,"有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"一律採剖腹生產來減少心臟負荷","產後絕對平躺休息以降低心臟負荷","產後 48 小時靜脈回流增加，需密切監測心臟功能","臨床分類為第一級的婦女不建議哺餵母乳","C",null,[],"本題考點在於心臟病孕婦生產與產後照護。正解 C：產後最初 24～48 小時，子宮胎盤循環消失、下肢與組織間液回流入血管，循環血量與靜脈回流驟增，是心臟負荷最重、最易發生心衰竭的時期，須密切監測。A 錯，生產方式應個別評估，陰道生產（必要時輔以器械縮短第二產程）通常比剖腹對心臟負擔更小，並非一律剖腹；B 錯，產後宜採半坐臥而非絕對平躺，以減少回心血量、減輕心臟負荷；D 錯，心功能第一級屬活動不受限，可正常哺乳。故選 C。","心臟病孕婦血流動力學風險有三高峰：懷孕 28～32 週（血量最大）、生產時（每次宮縮約 300～500 mL 血液回流）、以及產後即刻（子宮縮小擠出血液、組織液回收，自體輸血效應）。故產後前 48～72 小時最危險。NYHA 分級第一、二級多可經陰道生產與哺乳；第三、四級才需嚴格限制活動。",[24,27,29,31],{"term":25,"count":26},"心臟病孕婦照護",1,{"term":28,"count":26},"產後靜脈回流增加",{"term":30,"count":26},"NYHA 心功能分級",{"term":32,"count":26},"半坐臥減輕心臟負荷",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-021","楊女士，28 歲，G 1 P 0 ，孕前 BMI 正常，本次懷孕為同卵雙胞胎，胎位皆為頭位，下列護理指導何者最適當？",21,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-017","有關新生兒的生殖系統，下列何者正確？",17,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-maternal-pediatric-061","小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",61,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-019","當待產婦使用 PGE 2 陰道栓劑後，護理師需要監測下列何種變化？",19,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-063","有關新生兒壞死性腸炎之敘述，下列何者錯誤？",63,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",110,"2026-09-04",1788510762432]