[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-014":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-014","nurse-113-1-maternal-pediatric-014",113,1,14,"何女士，G1P1，採陰道分娩，無任何產後合併症，產後4小時，觸診子宮底時發現位於臍上一指且偏右，下列何者為首要的護理措施？",{"A":14,"B":15,"C":16,"D":17},"子宮按摩","下床活動","多喝開水","如廁解尿","D",null,[],"本題考點在於產後子宮底位置異常偏移的成因判讀與首要處置。此案例產後 4 小時子宮底位於臍上一指且偏右，典型代表膀胱脹滿將子宮上推並向右偏移。依產後照護原則，首要護理措施為 D「如廁解尿」，排空膀胱後子宮底通常會下降回位並維持良好收縮，減少子宮收縮不良導致的產後出血。A「子宮按摩」在子宮偏移的成因未解除前效果有限，應先排空膀胱。B「下床活動」與 C「多喝開水」皆非針對膀胱脹滿造成子宮上移的直接處置。判別關鍵在辨識『子宮底高且偏右＝膀胱脹滿』，故正解為 D。",[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？",6,1783840795600]