[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-022":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-022","nurse-110-1-maternal-pediatric-022",110,1,22,"丁女士 30 歲，第二胎，現為產後第二天，其宮底位於臍下一指，惡露呈紅色量中，主訴昨夜睡眠差且感宮縮疼痛不適，當新生兒推出餵奶時，表示想休息並拒絕餵奶，此行為正確的解釋是：",{"A":14,"B":15,"C":16,"D":17},"此為第二胎，所以對新生兒較不感好奇，也較以自我為中心","此宮縮痛是不正常之現象，應立即通知醫師","此時處於接受期，身體仍需調養，所以應主動為她哺餵新生兒","此時處於接受期，應先滿足她的需求，但同時亦應鼓勵她多接觸新生兒","D",null,[],"本題考點是產後心理適應的接受期（taking-in phase）與護理反應。考點在於Rubin的產後心理適應理論中，產後1至2天為接受期，產婦以自身為中心、依賴性高、需要休息與被照顧，此時她想休息、暫拒餵奶屬正常表現，護理應先滿足其休息與生理需求，同時鼓勵並漸進促進她與新生兒接觸，故D正確。A錯在拒絕餵奶與胎次或對嬰兒好奇與否無關，是接受期的正常反應。B錯在產後宮縮痛（afterpain）屬正常、與哺乳催產素釋放有關，並非須緊急通報醫師的異常。C錯在此期不宜勉強要求她主動哺餵，應以支持其恢復為先。理解Rubin接受期特徵是解題核心。",[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？",6,1783840762846]