[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-019":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-114-1-產兒科護理學-019","nurse-114-1-maternal-pediatric-019",114,1,19,"採純母乳哺餵之健康新生兒出生體重為3,900公克，出生第三天體重降為3,700公克，父母非常擔憂該新生兒體重降低的狀況，此時最適合的護理指導為何？",{"A":14,"B":15,"C":16,"D":17},"三天內體重減輕200公克可能與新生兒腸胃道吸收功能不佳有關，需要請醫師檢查","出生前幾日的體重減輕可能與生理性黃疸有關，應該要立即抽血檢查","三天內體重減輕200公克與母乳分泌不足有關，教導母親應多喝水與多食用高蛋白食物","此為正常新生兒生理性體重流失現象，增加哺餵次數體重會慢慢恢復，不必太過擔憂","D",null,[],"本題考點在於新生兒生理性體重流失的判讀與衛教。依新生兒生理，出生後數日因排出胎便、尿液及細胞外液，並攝食量尚少，體重可下降達出生體重的 7～10%，屬正常現象，之後隨哺餵增加逐漸回升，約 10～14 天回到出生體重。本例 3900 降至 3700 約減 5%，屬正常範圍，最適合的指導為 D：屬生理性流失、增加哺餵次數即會恢復、不必過度擔憂。A 歸因腸胃吸收不佳、B 歸因黃疸須抽血、C 歸因母乳不足要多喝水多吃高蛋白，皆屬過度醫療化且非正確機轉，故錯誤。",[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？",6,1783840797225]