[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-013":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":10},"nurse-115-2-產兒科護理學-013","nurse-115-2-maternal-pediatric-013",115,2,13,"有關母乳與配方奶成分的比較，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"母乳的乳糖含量較配方奶高","母乳的鈣鐵濃度較配方奶高","母乳的不飽和脂肪酸比例較配方奶高","母乳的乳清蛋白成分較配方奶高","B",null,[],"本題考點是母乳與配方奶（牛奶基底）成分的量與質差異。依乳汁成分比較，母乳中鈣與鐵的絕對濃度低於牛奶配方，但因含乳鐵蛋白、乳糖與維生素 C 促進吸收，且鈣磷比例適當，生物可用率明顯較高，因此以「濃度較高」描述屬錯誤，選 B。A 正確：母乳乳糖含量高於牛奶，提供腦部發育所需並促進鈣質吸收與乳酸菌生長。C 正確：母乳不飽和脂肪酸比例高，並含 DHA 與 AA，有利神經與視網膜發育。D 正確：母乳乳清蛋白對酪蛋白比例約六比四，乳清高、凝乳細軟，胃排空快且較易消化。","記憶原則是「母乳量少質精」：鐵、鈣、蛋白質、維生素 D 的濃度不高，但吸收率與適配性高；配方奶為補足吸收率不足而提高添加量。免疫成分則是母乳獨有的優勢——分泌型 IgA 覆蓋腸道黏膜、乳鐵蛋白競爭性奪鐵抑菌、溶菌酶與雙叉桿菌因子塑造腸道菌相、白血球提供活性防禦。臨床設計此考點是為導向純母乳哺育指導，同時提醒約四至六個月後需注意鐵質補充。延伸可連結初乳與成熟乳的成分差異及前奶後奶的脂肪含量變化。",[24,26,28,31],{"term":25,"count":10},"母乳成分",{"term":27,"count":10},"母乳免疫成分",{"term":29,"count":30},"乳清蛋白與酪蛋白比例",1,{"term":32,"count":30},"鐵與鈣的生物可用率",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-014","有關生理性脹奶（fullness）的照護，下列敘述何者最不適當？",14,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-106-1-maternal-pediatric-060","有關嬰兒及兒童接受氧氣治療之相關敘述，下列何者正確？",60,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-074","林小妹，9 歲，診斷為闌尾炎（Appendicitis）預進行盲腸切除手術。有關手術前後的護理措施，下列何者正確？",74,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-108-1-maternal-pediatric-032","有關前置胎盤之敘述，下列何者正確？",32,108,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-030","張女士，妊娠 8 週，因陰道斷續性少量出血到門診檢查。主訴有嚴重的噁心和嘔吐，醫師初步評估子宮大小超過懷孕週數，hCG 值偏高，超音波掃描未看到胎兒影像。張女士最可能的情況是：",30,110,"2026-08-06",1787299006938]