[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-113-2-產兒科護理學-036","nurse-113-2-maternal-pediatric-036",113,2,36,"有關高膽紅素血症新生兒的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可即早餵食，使膽紅素正常排泄","應每 4 小時翻身一次，以增加照光的持續效果","照光時光源距離皮膚最佳的距離為 30～45 公分","出現黃疸時，立即暫停哺餵母乳","A",null,[],"本題考點在於新生兒高膽紅素血症（黃疸）的護理措施。促進膽紅素排除的關鍵是及早且充足餵食，增加腸蠕動與排便，減少膽紅素經腸肝循環再吸收，故 A「可及早餵食使膽紅素正常排泄」最適當。B 不當，照光治療翻身頻率並非固定每 4 小時，而應更頻繁地變換姿勢以使全身皮膚均勻受光，且每 2 小時左右即需變換並持續哺餵。C 不當，照光燈源與皮膚的建議距離約為 45–50 公分（依機型），30–45 公分過近可能造成體溫過高與皮膚灼傷風險，數值偏低。D 不當，一般生理性黃疸與多數病理性黃疸不需停餵母乳，反而應持續哺餵以促排除；僅少數確診母乳性黃疸且膽紅素極高時才由醫師評估短暫暫停，不應「一出現黃疸就立即停母乳」。本題須掌握「餵食促排除」為黃疸護理核心。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840796439]