[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-產兒科護理學-015","nurse-115-1-maternal-pediatric-015",115,1,15,"依據學者 Rubin 對產後婦女行為表現的觀察，下列何者屬於接受期（taking–in）的行為特色？",{"A":14,"B":15,"C":16,"D":17},"主動關心新生兒的需要","注意力集中在自己身上","接受新生兒是一獨立個體","積極尋求別人的意見","B",null,[],"本題考點是 Rubin 產後心理適應三階段中接受期的行為特徵。依 Rubin 的理論,接受期約在產後 1 至 2 天,產婦處於依賴、被動的狀態,注意力集中在自己身上,關心睡眠、飲食與身體不適,並反覆敘說生產經驗以整合這段歷程,故 B 正確。A 主動關心新生兒需要屬把握期(taking-hold),此期產婦逐漸重掌控制感、願意學習照顧技巧。D 積極尋求他人意見同樣是把握期的表現,反映學習動機而非依賴。C 接受新生兒是一個獨立個體、放下懷孕時的想像與原有角色,屬放手期(letting-go)的心理任務,發生時間更晚。","三階段可用「顧自己、學照顧、放得下」串記。接受期(產後 1 至 2 天)產婦依賴、被動、話題圍繞自身與生產經過,護理重點是滿足生理需求、允許休息與傾聽生產故事,此時大量教學效果差。把握期(約產後 2 至 10 天)產婦開始主動參與,是母嬰照護指導的黃金時機,但也最容易因挫敗而自覺無能,護理重點在給予具體可行的技巧與正向回饋。放手期(產後數週起)則涉及角色重整,包括接受孩子的獨立性、調整夫妻與手足關係、面對職場回歸。臨床上把握這個時序,才不會在接受期硬塞衛教而事倍功半。鑑別上要能分開產後情緒低落(產後 3 至 5 天出現、症狀輕、多在兩週內自行緩解)與產後憂鬱症(持續超過兩週、影響功能、需專業介入)。可延伸複習:母性角色達成(maternal role attainment)與依附行為的評估。",[24,27,29,31,33],{"term":25,"count":26},"Rubin 產後心理適應",2,{"term":28,"count":26},"接受期",{"term":30,"count":26},"放手期",{"term":32,"count":10},"把握期",{"term":34,"count":10},"母性角色達成",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-016","黃女士，G1P1，產後第一天，向護理師詢問：「我現在沒有奶水，可以餵奶嗎？」下列護理師的回應何者最適宜？",16,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-maternal-pediatric-012","蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",12,106,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-106-2-maternal-pediatric-026","承上題，提供王女士產後痛的護理措施，下列何者為宜？",26,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-064","小鳴，6 個月大，腋下、鼠蹊、頸部長出膿皰後結痂脫屑，求醫確診為膿皰病，下列處置何者不適當？",64,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-028","下列何者為新生兒黃疸照光治療的原理？",28,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-maternal-pediatric-062","有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",62,110,"2026-08-06",1787299089306]