[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-041","nurse-115-1-maternal-pediatric-041",115,1,41,"陳小妹，10 個月，診斷缺鐵性貧血（iron deficiency anemia），醫囑開立口服鐵劑，下列護理指導何者正確？",{"A":14,"B":15,"C":16,"D":17},"鐵劑與柑橘類果汁一起服用，會促進鐵劑吸收","鐵劑與制酸劑一起服用，避免腸胃不適","服用鐵劑後，排出黑色糞便，應立即停藥就醫","利於餵食，鐵劑可加入牛奶內一起服用","A",null,[],"本題考點在口服鐵劑的吸收影響因素。依鐵吸收原理，二價亞鐵在酸性環境吸收較好，維生素 C 能將三價鐵還原為二價並維持酸性，因此柑橘類果汁與鐵劑同服可促進吸收，故選 A。B 錯在制酸劑提高胃內酸鹼值，會明顯降低鐵的溶解與吸收，兩者應間隔服用。C 錯在服用鐵劑後糞便變黑是未吸收鐵造成的正常現象，不需停藥。D 錯在牛奶中的鈣與磷會與鐵競爭吸收並形成不易吸收的複合物，不宜混合餵食。","缺鐵性貧血在六個月至兩歲高峰，因胎兒鐵儲存耗盡而副食品補鐵不足；血液檢查呈微小性低血色素貧血，血清鐵蛋白下降最早出現。給藥要點是空腹或兩餐之間吸收最佳，但腸胃不適時可隨餐；液體劑型宜用吸管或滴管送到舌後方以減少牙齒染色，服後漱口。療效觀察順序為網狀紅血球先上升，血色素隨後改善，療程通常延長數月以補足儲鐵。可連結副食品鐵質來源與早產兒鐵劑補充時機。",[24,27,29,31],{"term":25,"count":26},"缺鐵性貧血",6,{"term":28,"count":10},"維生素C促進鐵吸收",{"term":30,"count":10},"制酸劑與鈣質抑制鐵吸收",{"term":32,"count":10},"鐵劑黑色糞便",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-042","小明，16 歲，因為走路跛行住院檢查，今確立診斷為骨肉瘤（osteosarcoma），下列敘述何者錯誤？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-038","有關更年期婦女變化之敘述，下列何者正確？",38,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-maternal-pediatric-052","小維，自然產出生的足月兒。出生後的第二天，小維媽媽親餵母乳時發現小維皮膚呈現深黃色，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 12 mg\u002FdL。護理師初步的護理評估及判斷為何？",52,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-010","有關胎血循環，下列何者正確？",10,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-054","協助病童接受腰椎穿刺檢查過程中，下列護理措施何者不恰當？",54,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-maternal-pediatric-008","李女士月經週期約 28～45 天，產前門診剛確定懷孕，最後一次月經來是上個月 3 號，下列何者為最準確的預產期推估法？",8,110,"2026-08-06",1787299089548]