# 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=393889&lang=zh-tw  
> language: zh-TW  
> subject: NCLEX-RN  
> 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 patient with severe contamination obsessive-compulsive disorder is starting exposure and…](https://mymerci.kr/pages/nclex_q.php?qn_id=372864&lang=zh-tw)
- [A nurse is providing HPV vaccine education to the parent of an 11-year-old at a routine we…](https://mymerci.kr/pages/nclex_q.php?qn_id=372865&lang=zh-tw)
- [An 82-year-old patient with moderate Alzheimer dementia becomes increasingly agitated, res…](https://mymerci.kr/pages/nclex_q.php?qn_id=372904&lang=zh-tw)
- [An adult patient has been seizing continuously for 6 minutes. The provider asks the nurse …](https://mymerci.kr/pages/nclex_q.php?qn_id=373126&lang=zh-tw)
- [Four patients arrive in the ED. Which patient presentation indicates a hypertensive EMERGE…](https://mymerci.kr/pages/nclex_q.php?qn_id=373127&lang=zh-tw)
- [A patient has a serum potassium of 2.8 mEq/L and a new order for IV potassium chloride 40 …](https://mymerci.kr/pages/nclex_q.php?qn_id=373128&lang=zh-tw)
- [A patient on chronic phenytoin for seizure disorder reports new diplopia and unsteady gait…](https://mymerci.kr/pages/nclex_q.php?qn_id=373129&lang=zh-tw)
- [The night-shift nurse receives a telephone order from the on-call provider for "morphine 4…](https://mymerci.kr/pages/nclex_q.php?qn_id=373130&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=393889&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=393889&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=393889&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=393889&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=393889&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。_