[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-030","nurse-106-1-maternal-pediatric-030",106,1,30,"黃小妹採純母乳哺餵，食慾不錯，出生第 3 天媽媽發現黃小妹臉上膚色黃黃的，測得血清膽紅素為 12 mg\u002FdL，護理師的相關解釋何者正確？",{"A":14,"B":15,"C":16,"D":17},"可能是血型不合所導致的病理性黃疸（Pathologic jaundice），要趕快通知醫生做後續治療","可能是核黃疸（Kernicterus）的前驅表現，容易造成黃小妹腦部損傷及智力傷害，最好先照光治療","可能是餵母乳造成的母乳性黃疸（Breast milk jaundice），暫時停止哺餵母乳就會改善","可能是一般的生理性黃疸（Physiologic jaundice），持續注意黃小妹食慾狀況及膚色變化即可","D",null,[],"本題考點為新生兒黃疸的鑑別。依生理性黃疸特徵,足月兒約出生後第2至3天出現、血清膽紅素多不超過12至15 mg\u002FdL、無溶血等病理因素且食慾活力良好者屬之;黃小妹第3天、膽紅素12 mg\u002FdL、食慾佳,最可能為生理性黃疸,持續觀察膚色與活力即可,故選D。選項A血型不合的病理性黃疸多於出生24小時內出現且進展快;選項B核黃疸多在膽紅素遠高於20 mg\u002FdL才需擔心,12 mg\u002FdL言之過早;選項C母乳性黃疸雖存在,但此情境無停餵指標,不需輕率停餵母乳,故皆不如生理性黃疸貼切。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734253]