[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-053":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-108-1-產兒科護理學-053","nurse-108-1-maternal-pediatric-053",108,1,53,"玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",{"A":14,"B":15,"C":16,"D":17},"監測玲玲的用餐情形，直到願意開始進食為止","提供玲玲高熱量食物，每週增加 3 公斤為目標","建立行為契約，與玲玲討論營養攝取目標","邀請父母親參與飲食護理指導，不需轉介家庭心理諮商代號：4106 頁次：8－6","C",null,[],"本題考點在神經性厭食症的營養重建護理。厭食症合併扭曲的身體形象與強烈控制需求，護理策略採行為契約，與病人共同討論並訂立可達成的營養攝取目標，藉由賦予其部分自主與明確約定增進配合度，故選 C。選項 A 錯在被動等待病人願意才進食會延誤營養重建，且厭食症常否認病情，須主動且有計畫地介入。選項 B 錯在每週增重 3 公斤過於激進，體重回升過快恐引發再餵食症候群（refeeding syndrome）的電解質失衡，臨床以每週 0.5–1 公斤為安全範圍。選項 D 錯在厭食症與家庭動力密切相關，家庭治療與心理諮商是重要一環，不應排除轉介。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840745532]