[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-2-產兒科護理學-014","nurse-115-2-maternal-pediatric-014",115,2,14,"有關生理性脹奶（fullness）的照護，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"產後即刻不限時間的肌膚接觸能預防生理性脹奶","產後按嬰兒飢餓訊號哺乳，有助於縮短生理性脹奶期間","產後第一週減少水分攝入，有助於避免生理性脹奶發生","必要時於餵奶前熱敷乳房以利排乳反射，減緩生理性脹奶","C",null,[],"本題考點是生理性脹奶（fullness）的成因與處理原則。生理性脹奶源自產後乳腺血流與淋巴增加加上乳汁開始大量分泌，處理核心是「有效且頻繁地移出乳汁」，而非限水；限制水分攝取無法減少乳汁生成，反而造成脫水與便祕，故最不適當者為 C。A 適當：產後即刻且不限時的肌膚接觸能促進早期含乳與泌乳素釋放，減少乳汁滯留。B 適當：依嬰兒飢餓訊號哺乳可提高排乳頻率，縮短脹奶期間。D 適當：餵奶前短暫熱敷或溫敷可促進排乳反射，使乳汁較易流出而減緩脹感。","泌乳生理有兩條軸線：泌乳素（prolactin）負責乳汁生成、oxytocin 負責排乳反射，兩者都靠嬰兒吸吮刺激維持，所以「移出愈多、製造愈多」的供需法則是所有脹奶處理的根據。時序上可對比記憶：生理性脹奶多在產後第二至第五天、雙側對稱、無發燒；乳腺阻塞為局部硬塊、無全身症狀；乳腺炎則有紅腫熱痛與發燒等全身症狀。溫熱用於餵奶前促排乳、冷敷用於餵奶後緩解腫脹，順序顛倒會加重腫脹感。",[24,27,29,31],{"term":25,"count":26},"生理性脹奶",1,{"term":28,"count":26},"泌乳供需法則",{"term":30,"count":26},"排乳反射 oxytocin",{"term":32,"count":26},"乳腺阻塞與乳腺炎鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-015","蔡女士，G 1 P 1 ，新生兒出生體重 3800 公克，產後第二天，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。進行哺乳相關資料收集發現，新生兒現在體重 3500 公克，早上 9 點剛換過一次尿片，混雜尿尿及大量墨綠色大便。有關產後住院期間的照護建議，下列何者不適當？",15,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-061","小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",61,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-075","有關先天性的氣管食道瘻管（Tracheoesophageal fistula）嬰兒，進行瘻管關閉及食道吻合術後之照護重點，下列敘述何者錯誤？",75,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-033","有關安胎藥物之敘述，下列何者正確？",33,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-maternal-pediatric-077","王小妹，7 歲，被診斷泌尿道感染（Urinary Tract Infection），出院時醫囑開立 7 天份的口服抗生素 amoxicilline，下列護理指導何者適當？",77,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-031","王女士，懷孕 32 週，突然發生陰道出血而入院，醫囑住院安胎。評估個案未覺腹痛，出血呈鮮紅色、量中。護理師的處置與指導，下列何者錯誤？",31,110,"2026-08-06",1787299006941]