[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-047","nurse-115-1-maternal-pediatric-047",115,1,47,"王小弟，8 個月，罹患先天性膽道閉鎖，手術後偶有膽道炎發生，有關飲食護理指導的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"膽汁缺乏所以需補充水溶性維生素","採低鈣飲食","限制蛋白質高的食物，避免肝臟負擔","採用中鏈脂肪酸的配方奶","D",null,[],"本題考點在膽道閉鎖術後的脂肪吸收生理與飲食設計。膽汁排流不足時，長鏈脂肪需膽鹽形成微膠粒才能吸收，而中鏈脂肪酸可直接由腸黏膜吸收進入肝門靜脈，不依賴膽鹽，因此採含中鏈脂肪酸的配方奶最能維持熱量與生長，故選 D。A 錯在膽汁缺乏影響的是脂溶性維生素的吸收，需補充維生素 A、D、E、K，而非水溶性。B 錯在脂肪吸收不良易併發鈣質流失與骨質問題，應補鈣而非低鈣。C 錯在此類病嬰處於高代謝與生長需求，需給足熱量與蛋白質，不宜常規限制蛋白質。","膽道閉鎖以葛西手術重建膽流，術後膽道炎與門脈高壓是主要併發症，最終部分個案仍需肝臟移植。臨床表徵為出生後持續加深的黃疸、直接型膽紅素上升、灰白色糞便與茶色尿，糞便卡比色卡是常用篩檢工具。營養口訣「中鏈脂肪供熱量、脂溶維生素要補、熱量蛋白給足」。可連結生理性黃疸與病理性黃疸的鑑別，以及脂溶性維生素缺乏各自的臨床表現。",[24,27,29,31],{"term":25,"count":26},"先天性膽道閉鎖",2,{"term":28,"count":26},"脂溶性維生素缺乏",{"term":30,"count":10},"中鏈脂肪酸吸收不需膽鹽",{"term":32,"count":10},"高熱量高蛋白營養需求",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-048","陳小弟，8 歲，罹患癲癇，有關癲癇的照護，下列敘述何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-044","小亮，8 歲，於野外露營時被雨傘節咬傷左小腿，下列何項處置最為適宜？",44,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-maternal-pediatric-058","小明，1 歲半，診斷為川崎氏症而住院治療。醫囑給予小明高劑量 Aspirin 100 mg\u002Fkg\u002Fday，及靜脈注射免疫球蛋白（intravenous immune globulin）2g\u002Fkg。下列護理指導內容，何者不適當？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-016","有關剖腹產的敘述，下列何項錯誤？",16,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-060","有關兒童住院壓力，下列敘述何者錯誤？",60,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-maternal-pediatric-014","有關第二產程的敘述，下列何者錯誤？",14,110,"2026-08-06",1787299089609]