[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-020":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-110-1-產兒科護理學-020","nurse-110-1-maternal-pediatric-020",110,1,20,"邱女士，產後第三天嚴重脹奶，原想採純母乳哺餵，表示：「昨天都還好，今早突然這樣，實在太痛了，我想打退奶針。」下列何項處置最適當？",{"A":14,"B":15,"C":16,"D":17},"哺餵次數過多會造成乳汁分泌量增多，建議定時餵奶","協助熱敷與按摩乳房直至乳房呈現柔軟狀態","刺激噴乳反射，協助擠出乳汁","建議穿著較緊胸罩、減少刺激與限制水分來退奶","C",null,[],"本題考點是產後乳房腫脹（engorgement）欲純母乳哺餵者的處置。考點在於脹奶時最有效的處置是移出乳汁、緩解乳腺充盈，故應刺激噴乳反射（let-down reflex）並協助擠出或哺餵乳汁以疏通，故C正確。A錯在乳汁分泌採供需原則，減少哺餵反而使乳汁滯留加重腫脹，定時餵奶並不利於脹奶緩解，應依嬰兒需求哺餵。B錯在嚴重脹奶時哺乳前宜溫敷軟化、哺乳後冷敷消腫，一味持續熱敷至柔軟並非正解且可能加重充血。D錯在穿緊胸罩、限制水分等退奶措施違背個案原本純母乳哺餵的意願，不應主動導向退奶。掌握「移出乳汁解除充盈」的核心處置是解題關鍵。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840762817]