[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-115-1-產兒科護理學-001","nurse-115-1-maternal-pediatric-001",115,1,"有關我國母嬰親善醫院之認證基準，下列敘述何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"提供孕婦哺餵母乳相關衛教及指導","在醫療需求下，可提供母乳以外的食物或飲料","施行親子同室，依嬰兒需求哺餵母乳","嬰兒哭泣時可提供安撫奶嘴","D",null,[],"本題考點是母嬰親善醫院認證基準中對人工奶嘴與安撫奶嘴的規定。依世界衛生組織「成功哺育母乳十大步驟」,母嬰親善醫院不提供安撫奶嘴或人工奶嘴,因奶嘴與乳房的吸吮方式不同,易造成乳頭混淆,降低嬰兒含乳意願與吸吮次數,進而減少泌乳量,故 D 的敘述與基準相違,是錯誤選項。A 提供孕期哺乳衛教與指導,屬十大步驟中的產前教育,敘述正確。B 基準允許在有醫療適應症(如低血糖、脫水)時給予母乳以外的食物或飲料,並非全面禁止,敘述正確。C 施行親子同室並依嬰兒需求哺餵,也是十大步驟明列項目,敘述正確。","十大步驟可用「政策—訓練—產前教育—早期肌膚接觸—正確含乳—純母乳—親子同室—依需求哺乳—不用奶嘴—轉介支持團體」串記,最後三項最常被出成錯誤選項。乳頭混淆的機轉在於:吸吮乳房需舌頭做波浪狀擠壓並含住乳暈,奶瓶與奶嘴只需負壓即可出奶,嬰兒學會省力模式後回到乳房便含不住,加上吸吮刺激減少會使泌乳素脈衝下降,形成惡性循環。相關可一併複習的概念:泌乳素反射與催產素反射(噴乳反射)、依需求哺乳(cue-based feeding)、國際母乳代用品銷售守則(禁止院內展示配方奶廣告與贈品)。",[23,26,29,32,34],{"term":24,"count":25},"親子同室",7,{"term":27,"count":28},"乳頭混淆",4,{"term":30,"count":31},"依需求哺乳",2,{"term":33,"count":10},"母嬰親善醫院認證基準",{"term":35,"count":10},"成功哺育母乳十大步驟",[37,40,44,49,54,59],{"webId":38,"stem":39,"number":31,"year":9,"session":10},"nurse-115-1-maternal-pediatric-002","有關妊娠期間孕婦血液組成的變化，下列敘述何者正確？",{"webId":41,"stem":42,"number":43,"year":9,"session":31},"nurse-115-2-maternal-pediatric-048","有關小兒急性腸胃炎（acute gastroenteritis）臨床表徵之敘述，下列何者錯誤？",48,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-2-maternal-pediatric-012","有關生產時會陰消毒原則，下列何者錯誤？",12,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-2-maternal-pediatric-050","小珊，10 個月大，因中耳炎合併熱性痙攣住院治療，下列護理措施何者正確？",50,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-014","李女士每 1 分鐘子宮收縮一次，每次持續 50 秒，子宮頸口全開，變薄程度 100%，胎兒先露部位高度為＋2，有強烈想用力的感覺。當子宮收縮時，下列的護理指導何者最恰當？",14,109,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-110-1-maternal-pediatric-048","有關兒童疼痛概念與認知的敘述，下列何者錯誤？",110,"2026-08-06",1787299089143]