[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-107-2-產兒科護理學-020","nurse-107-2-maternal-pediatric-020",107,2,20,"張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",{"A":14,"B":15,"C":16,"D":17},"2 星期後疼痛情況就會改善","因母乳哺餵造成泌乳激素分泌而引起","適當活動可以改善疼痛","先停止母乳哺餵以緩解疼痛","C",null,[],"本題考點在產後痛（afterpains）的機轉與衛教。哺乳時嬰兒吸吮刺激腦下垂體釋放催產素，引發子宮收縮以促進復舊，此陣發性收縮即為產後痛，經產婦（如本例 P2）更明顯；適當活動與排空膀胱有助子宮維持良好收縮、減輕不適，故 C 衛教適宜。A 稱 2 星期後才改善不正確，產後痛通常數天內即緩解。B 將機轉歸因於泌乳激素（prolactin）錯誤，引發子宮收縮的是催產素（oxytocin）。D 為緩解疼痛而停止哺乳並不恰當，違反哺乳促進復舊的目的，故選 C。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":36,"stem":37,"number":38,"year":27,"session":22},"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":40,"stem":41,"number":42,"year":27,"session":22},"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":44,"stem":45,"number":46,"year":27,"session":22},"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？",6,1783840751655]