[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-025","nurse-115-2-maternal-pediatric-025",115,2,25,"鄭女士，因子宮脫垂入院治療，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"大笑時感覺有東西掉到陰道，為第一度子宮脫垂","發生原因是先天性骨盆結構無力造成","只能採手術方式治療","宜教導增強骨盆底肌肉運動","D",null,[],"本題考點是子宮脫垂的分度、成因與治療層級。依骨盆底支持結構的生理，提肛肌群與筋膜張力是維持子宮位置的關鍵，凱格爾式骨盆底肌肉運動可強化這些肌群，屬輕中度脫垂的保守處理首選，故 D 正確。A 錯：第一度脫垂指子宮頸下降至陰道上段、未達陰道口；感覺有東西掉到陰道口或突出者已屬第二度以上。B 錯：主因是多次陰道分娩、產程過長與器械助產造成的支持組織損傷，加上停經後雌性素下降與長期腹壓增加，並非先天骨盆結構無力。C 錯：治療層級包含骨盆底運動、子宮托、局部雌性素與手術，並非只能開刀。","分度可用「陰道內—到口—出口外」三段記：第一度子宮頸降至陰道內、第二度子宮頸達陰道口、第三度（完全脫垂）子宮體整個脫出陰道口外。危險因子可歸為「生產損傷、老化缺乏雌性素、慢性腹壓增加」三軸，後者包含長期便祕、慢性咳嗽、肥胖與長期搬重物，這也是衛教時同步處理便祕與體重的原因。骨盆底肌肉運動的要領是收縮如中斷排尿的肌群、維持數秒後放鬆並避免同時收縮腹部與大腿。延伸可連結壓力性尿失禁、膀胱脫垂與直腸脫垂等常合併的骨盆器官鬆弛問題。",[24,27,29,31],{"term":25,"count":26},"子宮脫垂分度",1,{"term":28,"count":26},"骨盆底肌肉運動",{"term":30,"count":26},"子宮托 pessary",{"term":32,"count":26},"骨盆器官鬆弛危險因子",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-026","有關兒童及青少年憂鬱症的飲食治療建議，下列敘述何者最適當？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-072","小明，1 個月大，罹患膽道閉鎖，因發燒、呼吸喘、脾腫大而住院治療，接受鼻胃管灌食，每餐灌食量為 150 mL，護理師灌食前反抽出胃殘餘量 50 mL，下列護理措施何者正確？",72,106,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-107-1-maternal-pediatric-006","有關妊娠期的營養評估與指導，下列何者錯誤？",6,107,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-108-1-maternal-pediatric-044","有關腸病毒傳染途徑的敘述，下列何者錯誤？",44,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-2-maternal-pediatric-008","林女士 28 歲，孕前體重 56 公斤，目前懷孕 20 週，此次產檢體重為 64 公斤，血壓為 148\u002F94 mmHg，尿蛋白 1+，下列護理指導何者最適當？",8,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-maternal-pediatric-042","小強，5 歲，因溺水急救後送至急診，體溫為 29℃，下列處置何者錯誤？",42,110,"2026-08-06",1787299007142]