[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-產兒科護理學-012","nurse-115-1-maternal-pediatric-012",115,1,12,"陳女士，28 歲，G1P1。採用剖腹產分娩並表示渴望與新生兒能有共處時刻，下列處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"分娩後於產檯上即可鼓勵與新生兒肌膚接觸","建議實施 24 小時親子同室","當產婦疲憊想休息時，仍應實施親子同室","護產人員隨時提供母嬰健康照護諮詢","C",null,[],"本題考點是親子同室的執行原則與個別化照護。依以家庭為中心的照護原則,親子同室應在母親身心狀況允許下進行並尊重其意願,產婦疲憊需休息時可暫由護理人員協助照顧新生兒,若一律強制執行反而妨礙產後恢復、加重疲累與哺乳挫敗感,故 C 錯誤。A 正確,剖腹產若母嬰狀況穩定,於產檯上即可開始肌膚接觸,有助穩定新生兒體溫、心跳呼吸並促進噴乳反射。B 正確,24 小時親子同室是母嬰親善醫院鼓勵的措施,可增加依需求哺乳與辨識嬰兒飢餓線索的機會。D 正確,護產人員隨時提供母嬰健康照護諮詢,屬持續性的支持系統,符合認證精神。","肌膚接觸的生理益處可用四字概括:溫、糖、菌、乳。母親胸前的皮膚溫度可穩定新生兒體溫,減少低體溫造成的耗氧與低血糖;早期接觸讓新生兒接觸母親正常菌落而非院內菌種;吸吮與皮膚刺激促使催產素釋放,既加強子宮收縮減少產後出血,也啟動噴乳反射。剖腹產產婦推行時的差異只在技術面,如手臂點滴與監測線路的安置、傷口疼痛的控制與翻身協助,原則本身不因產式而改變。認證基準與「一律執行」是兩回事:母嬰親善評鑑本身即容許母親因醫療需要或體力不支時暫時分開,考題常在這個彈性條款上設陷阱。可延伸複習:嬰兒早期飢餓線索(舌頭伸出、尋乳、手往嘴)與哭泣屬晚期線索、產後疼痛控制對哺乳成功率的影響。",[24,27,30,33,35],{"term":25,"count":26},"親子同室",7,{"term":28,"count":29},"母嬰親善醫院",4,{"term":31,"count":32},"產後肌膚接觸",3,{"term":34,"count":10},"以家庭為中心的照護",{"term":36,"count":10},"催產素與噴乳反射",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-115-1-maternal-pediatric-013","蘇女士 G3P3，懷孕 34 週早期破水緊急剖腹生產，產後第 9 天在家來電主訴：「擠奶 30 分鐘後，身體移動時陰道感覺有東西流出，發現有如 50 元硬幣大小的血塊（如圖示），廁所途中仍持續出血，2 天前開始喝生化湯」，下列解釋何者最不適當？",13,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-106-1-maternal-pediatric-009","王女士，33 歲，目前懷孕 9 週，有貧血的現象。下列何種食物可幫助鐵質的吸收？",9,106,{"webId":48,"stem":49,"number":50,"year":46,"session":51},"nurse-106-2-maternal-pediatric-023","有關產後腸蠕動功能的評估，下列何者錯誤？",23,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-107-2-maternal-pediatric-061","小美，6 個月大，由媽媽抱來接種五合一疫苗，下列護理措施何者適當？",61,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-1-maternal-pediatric-025","有關 RU486（mifepristone）的臨床治療，下列何者錯誤？",25,109,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-110-1-maternal-pediatric-059","有關川崎氏症（Kawasaki disease）的臨床表徵，下列敘述何者錯誤？",59,110,"2026-08-06",1787299089264]