[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-021","nurse-106-1-maternal-pediatric-021",106,1,21,"黃女士，G 2 P 2 ，陰道產後 6 小時尚未排尿，她表示：「我從生產到現在只喝一點水，沒什麼尿液感」，下列護理處置何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"因個案水喝得少，繼續觀察有無尿液感情形","鼓勵個案多喝水，增加尿液感","若個案超過 8 小時仍未排尿，則協助導尿","評估膀胱，解釋產後膀胱脹滿的敏感度減低，並協助排尿","D",null,[],"本題考點為產後尿滯留的評估與護理處置。依產後生理,生產過程膀胱與尿道受壓,膀胱脹滿的敏感度降低,即使膀胱已充盈也可能無尿意,故正確處置為實際評估膀胱脹滿情形、向產婦解釋此敏感度減低的機轉並協助排尿,選D。選項A僅以喝水少為由繼續觀察,忽略評估膀胱有無脹滿;選項B一味鼓勵多喝水而未先評估;選項C被動等到超過8小時才導尿,可能已造成膀胱過度膨脹影響子宮收縮與復舊,故皆不及先評估膀胱並主動協助排尿適宜。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"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？",6,1783840734176]