[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-023","nurse-115-1-maternal-pediatric-023",115,1,23,"陰道生產之早期產後出血定義，是以生產後 24 小時內出血量至少超過多少？",{"A":14,"B":15,"C":16,"D":17},"500 c.c.","700 c.c.","1,000 c.c.","1,300 c.c.","A",null,[],"本題考點是產後出血的量化定義。依傳統產科定義,早期(立即性)產後出血指胎兒娩出後 24 小時內失血量達到或超過 500 c.c.,剖腹產則以 1,000 c.c. 為界;超過 24 小時至產後 6 週間的出血屬晚期產後出血,故 A 正確。B 的 700 c.c. 並非任何診斷閾值,不具依據。C 的 1,000 c.c. 是剖腹產的判斷標準,套用在陰道生產會延誤辨識與處理時機。D 的 1,300 c.c. 已進入明顯低血容積的範圍,若以此為門檻更不合理。實務上另以血比容下降 10% 或出現低血容積徵象作為輔助判斷,因為目測失血量常被低估。","產後出血的原因用 4T 記憶最實用:Tone 子宮收縮無力(最常見,約占多數個案)、Trauma 產道或子宮頸撕裂傷、Tissue 胎盤或胎膜組織殘留、Thrombin 凝血功能異常。四者的鑑別線索也各有特徵:子宮收縮無力時子宮底柔軟且升高、按摩後可暫時變硬;撕裂傷則子宮硬而收縮良好卻持續鮮紅出血;組織殘留常見於產後數日的晚期出血。評估重點在子宮底位置與硬度、惡露量色與血塊、生命徵象(心跳先上升、血壓下降是晚期表現)與膀胱是否膨脹,因為脹大的膀胱會把子宮推離中線而妨礙收縮。定義上另需知道,近年部分國際指引已改採不分產式一律以 1,000 mL 為產後出血界值,並強調搭配低血容積徵象判斷,但國考題型仍以陰道生產 500 c.c.、剖腹產 1,000 c.c. 的傳統定義為準。可延伸複習:子宮收縮劑的分類與產後出血的估血量方法(紙布秤重法)。",[24,27,29,31,33],{"term":25,"count":26},"晚期產後出血",3,{"term":28,"count":10},"早期產後出血定義",{"term":30,"count":10},"剖腹產出血界值",{"term":32,"count":10},"4T 原因",{"term":34,"count":10},"血比容下降",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-024","進入青春期的 17 歲少女一直無月經來潮，其可能原因為何？",24,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-maternal-pediatric-020","產後純母乳哺餵的婦女，坐月子期間最好的避孕方法為：",20,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-maternal-pediatric-034","下列何者為嚴重產後出血的徵象？",34,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-maternal-pediatric-072","有關罹患心臟病嬰兒服用毛地黃的護理指導，下列何者正確？",72,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-1-maternal-pediatric-036","有關不孕症夫妻性生活的護理指導，下列敘述何者錯誤？",36,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-1-maternal-pediatric-070","有關兒童腫瘤好發部位的敘述，下列何者錯誤？",70,110,"2026-08-06",1787299089374]