# 一位護理師打電話給一位陰道分娩後3天出院的產婦。產婦說：「我從昨晚開始頭痛得厲害，而且視力模糊。」護理師最適當的回應是什麼？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505788&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion and Maintenance  
> category: HPM

## 題目

一位護理師打電話給一位陰道分娩後3天出院的產婦。產婦說：「我從昨晚開始頭痛得厲害，而且視力模糊。」護理師最適當的回應是什麼？

History

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Notes

G2P2，3天前陰道分娩，懷孕過程無併發症，無慢性病史。

出院時血壓150/98 mmHg，心率88，呼吸16，體溫98.6°F。

血紅素11.2 g/dL，血比容34%，血小板210,000/µL。

出院衛教：監測警訊，2週後回診。

產婦主訴昨晚開始嚴重頭痛及視力模糊。否認胸痛或大量出血。

1

「服用布洛芬並在暗室休息；如果持續再打電話來。」

✕

2

「這是產後常見的現象，應該會自行好轉。」

✕

3

「請立即到急診室接受評估。」

✕

4

「本週內與您的產科醫師安排追蹤門診。」

✕

## 解析

產後嚴重頭痛合併視力變化是緊急的產婦警訊，可能表示子癇前症或其他嚴重狀況。產婦需要立即在急診室接受評估，而非自我照護或常規追蹤。建議服用布洛芬和休息會延誤必要的照護，可能造成危險。告知產婦這是常見現象且會自行好轉，忽略了潛在的嚴重性。安排本週的追蹤門診無法處理症狀的緊急性。

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