[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-028":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-109-1-產兒科護理學-028","nurse-109-1-maternal-pediatric-028",109,1,28,"下列何者為新生兒黃疸照光治療的原理？",{"A":14,"B":15,"C":16,"D":17},"能讓未結合型膽紅素因光之熱能而加速排出體外","能將未結合型膽紅素異構化使其容易排出體外","能將未結合型膽紅素在肝臟中解體後排出體外","能加速肝臟合成尿甘酸轉化酶與未結合型膽紅素結合代號：4106 頁次：6－3","B",null,[],"本題考點在於新生兒黃疸照光治療的作用原理。依光療機轉,藍光波長(約425至475 nm)能使皮膚中脂溶性的未結合型膽紅素發生「光異構化」與結構異構化,轉變為水溶性異構物(如lumirubin),可不經肝臟結合即由膽汁與尿液排出,故選B。A錯在把原理歸於光的「熱能」加速排出,實際作用是光化學異構化而非熱效應。C錯在稱膽紅素於「肝臟中解體」,光療作用發生在皮膚,且未結合型膽紅素本身不需經肝解體。D敘述加速肝臟合成尿甘酸轉化酶與膽紅素結合,那是肝臟結合機轉而非光療原理。因此正解為B。",[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？",6,1783840748113]