[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-016":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":10},"nurse-115-2-產兒科護理學-016","nurse-115-2-maternal-pediatric-016",115,2,16,"陳女士，G 3 P 1 SA 2 ，採陰道分娩，會陰 4 度裂傷，出院前詢問：「何時可以恢復性生活？」，下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"傷口 4 度裂傷，宜等到產後 6 個月後才開始性生活","只要放輕鬆，彼此想在一起即可以有性生活","建議惡露停止與會陰傷口癒合之後即可開始性生活","性生活會影響會陰傷口癒合，故建議禁慾一年","C",null,[],"本題考點是產後性生活恢復時機的判斷依據。依產後生殖系統復舊的生理，惡露停止代表子宮內膜再生完成、胎盤附著處癒合，而會陰傷口癒合代表黏膜與肌肉層修復，兩項條件同時具備時（多在產後四至六週）感染與傷口裂開的風險已降低，故最適當者為 C。A 錯：即使是四度裂傷，以復原生理判斷也無需延後至六個月，過度限制缺乏依據且增加心理壓力。B 錯：僅以雙方意願為判準，忽略惡露與傷口癒合這兩項生理指標。D 錯：禁慾一年並無實證依據，也不符合傷口癒合的時間歷程。","此題把「復舊時程」轉換為衛教判準：子宮於產後六週回復至孕前大小，惡露依序由紅色（三至四天）轉褐色（至第十天）再轉白色（可至三週），子宮內膜再生約於產後三週完成，胎盤附著處則需六至七週。會陰裂傷分四度，第四度已傷及肛門外括約肌與直腸黏膜，癒合期較長且須留意排便照護與大便軟化，因此判斷仍回到傷口癒合狀況而非固定月數。延伸可連結產後避孕時機與哺乳期泌乳素對排卵的抑制不可視為避孕方法。",[24,26,29,31],{"term":25,"count":10},"產後子宮復舊",{"term":27,"count":28},"惡露變化時序",1,{"term":30,"count":28},"會陰裂傷分度",{"term":32,"count":28},"產後性生活衛教依據",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-017","有關新生兒的生殖系統，下列何者正確？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-maternal-pediatric-063","有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",63,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-077","有關水腦病嬰接受腦室－腹膜分流術（V-P shunt）後的各項護理，下列敘述何者正確？",77,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-maternal-pediatric-035","Tamoxifen（Nolvadex）可抑制內生性雌激素作用，以有效降低乳癌的復發，若長期服用此藥物，護理師需要評估下列那些副作用？①血糖過低 ②鈣離子過低 ③噁心嘔吐 ④更年期症狀 ⑤末梢水腫",35,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-maternal-pediatric-079","有關先天性巨結腸症（congenital megacolon）之臨床表徵，下列敘述何者錯誤？",79,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-033","有關德國麻疹與懷孕關係，下列敘述何者錯誤？",33,110,"2026-08-06",1787299006947]