[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-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-113-1-產兒科護理學-020","nurse-113-1-maternal-pediatric-020",113,1,20,"王女士，G1P0，妊娠38週，因早期破水入院待產，待產時宮縮頻率及強度均不好，破水30小時後新生兒才娩出。產後第2天出現下列症狀：體溫38.5～39.5℃、惡露呈紅色有惡臭味、子宮底高度臍平、子宮軟、有頭痛及失眠、下腹部壓痛但無反彈性壓痛。上述王女士的身體狀況，其臨床症狀敘述下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"會陰傷口感染","子宮內膜炎","腹膜炎","泌尿道感染","B",null,[],"本題考點在於依產後感染的臨床表徵鑑別診斷。此案例有早期破水、破水長達 30 小時、產程遷延等高危因子，產後第 2 天出現發燒 38.5～39.5℃、惡露紅且惡臭、子宮軟且底高臍平、下腹壓痛但無反彈痛，這組合最符合 B「子宮內膜炎」。依感染定位，發燒＋惡臭惡露＋子宮壓痛＋子宮復舊不良是子宮內膜炎的典型表現，破水過久與產程長是其重要危險因子。A「會陰傷口感染」局限於會陰局部紅腫熱痛，與全身及子宮徵象不符。C「腹膜炎」會有明顯反彈痛與腹肌僵硬，但本案無反彈痛。D「泌尿道感染」以頻尿、尿急、排尿灼痛或腰痛為主，與惡臭惡露、子宮壓痛不符。故正解為 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？",6,1783840795661]