# 產後 1 小時，產婦有大量惡露且子宮在臍上方呈鬆軟。護理師優先應做什麼？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=zh-tw  
> language: zh-TW  
> subject: Lifestyle Choices  
> category: HPM

## 題目

產後 1 小時，產婦有大量惡露且子宮在臍上方呈鬆軟。護理師優先應做什麼？

## 選項

1. 按摩子宮底。 **✔ 正確答案**
2. 鼓勵產婦睡覺並 1 小時後再評估。
3. 在下腹部熱敷。
4. 移除會陰墊並讓產婦未覆蓋。

**正確答案: 1**

## 解析

子宮鬆軟合併大量惡露提示子宮收縮乏力，是產後出血常見原因。優先是按摩子宮底以刺激子宮收縮，同時持續評估並視需要通知醫療人員。延遲處置可能使出血惡化。

## 深入解析

臨床判斷
產後出血加子宮底鬆軟，在證明其他原因前先視為收縮問題。

記憶重點
子宮底鬆軟：先按摩。

## 臨床情境

實務指引
產後出血照護包括快速辨識子宮收縮乏力、子宮底按摩、依醫囑用藥、膀胱評估、生命徵象與升級處置。

注意
若子宮底堅硬但惡露很多，提示不同出血來源，需要進一步評估。

## 重要概念

- **惡露** — 產後陰道分泌物，包含血液、黏液與子宮組織。
- **子宮收縮乏力** — 分娩後子宮無法有效收縮，增加出血風險。
- **子宮底按摩** — 以手刺激子宮底以促進子宮收縮。

## 相同主題題目

- [A pregnant client at 34 weeks gestation reports a severe headache and blurred vision. The …](https://mymerci.kr/pages/nclex_q.php?qn_id=394058&lang=zh-tw)
- [A pregnant client at 34 weeks gestation reports a severe headache and blurred vision. The …](https://mymerci.kr/pages/nclex_q.php?qn_id=394059&lang=zh-tw)
- [The nurse teaches parents of a 3-day-old newborn about jaundice. Which finding should the …](https://mymerci.kr/pages/nclex_q.php?qn_id=394157&lang=zh-tw)
- [A pregnant client at 32 weeks reports a severe headache and visual spots. Which instructio…](https://mymerci.kr/pages/nclex_q.php?qn_id=397170&lang=zh-tw)
- [A pregnant client at 32 weeks reports a severe headache and visual spots. Which instructio…](https://mymerci.kr/pages/nclex_q.php?qn_id=397171&lang=zh-tw)
- [A parent of a 2-day-old newborn asks why the baby's skin looks yellow. Which response shou…](https://mymerci.kr/pages/nclex_q.php?qn_id=397285&lang=zh-tw)
- [A breastfeeding client has mastitis and asks whether to stop feeding from the affected bre…](https://mymerci.kr/pages/nclex_q.php?qn_id=397341&lang=zh-tw)
- [A breastfeeding client has mastitis and asks whether to stop feeding from the affected bre…](https://mymerci.kr/pages/nclex_q.php?qn_id=397342&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=393888&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_