[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-013":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-113-1-產兒科護理學-013","nurse-113-1-maternal-pediatric-013",113,1,13,"蔡女士，初產婦，因產程遲滯而行剖腹生產，新生兒出生體重3,800公克。產婦計畫要完全哺餵母乳，擔心自己奶水不足，因為從生產至今已兩天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。有關蔡女士對奶量的擔心，下列措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"評估新生兒兩天的排尿及排便情況","告訴產婦產程過長及剖腹生產都會延後脹奶出現的時間，這是正常的","肯定產婦完全母乳哺育的決定，了解這兩天新生兒吃奶及含乳的情況","了解產婦執行手擠乳的情況，討論增加手擠奶頻率的可行性","B",null,[],"本題考點在於剖腹產初產婦擔心奶水不足時的正確衛教，屬反向題，須找出不適當者。不適當敘述為 B「告訴產婦產程過長及剖腹生產都會延後脹奶時間，這是正常的」。此說法把奶水建立問題歸因於不可改變的生產方式、且暗示只能等待，未提供積極促進泌乳的協助，等於變相打擊持續哺乳的信心，故不適當為答案。A 適當，評估新生兒兩天排尿排便可客觀判斷奶水攝取是否足夠。C 適當，肯定全母乳決定並了解含乳與吸吮狀況，有助找出問題。D 適當，了解並鼓勵增加手擠奶頻率可刺激泌乳、建立奶量。判別關鍵在是否『積極促進泌乳並支持信心』，故選 B。",[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？",6,1783840795584]