[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-015":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-015","nurse-115-2-maternal-pediatric-015",115,2,15,"蔡女士，G 1 P 1 ，新生兒出生體重 3800 公克，產後第二天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。進行哺乳相關資料收集發現，新生兒現在體重 3500 公克，早上 9 點剛換過一次尿片，混雜尿尿及大量墨綠色大便。有關產後住院期間的照護建議，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"確實觀察一次完整哺乳的過程後，確保新生兒能有效吸吮","建議產婦執行 24 小時親子同室，可以依照嬰兒飢餓訊號餵奶","建議除了哺乳外，產婦就跟著新生兒作息睡覺休息","由於新生兒體重喪失超過 7%，建議在哺乳後再額外補充配方奶","D",null,[],"本題考點是新生兒生理性體重減輕的判讀與母乳哺育支持的優先順序。依生理性體重減輕的標準，出生後數日內減輕百分之七至十仍屬正常範圍；本例由 3800 公克降至 3500 公克約減少百分之七點九，且已有排尿並排出大量墨綠色胎便，代表攝入與排出運作中，頻繁含乳入睡屬新生兒密集哺乳的常見型態。此時優先評估含乳姿勢與吸吮有效性，貿然常規添加配方奶會減少吸吮刺激、抑制泌乳建立，故不適當者為 D。A 適當：完整觀察一次哺乳過程是判斷有效吸吮的關鍵。B 適當：親子同室與依訊號哺乳可增加哺乳次數。C 適當：配合新生兒作息休息有助產婦體力恢復。","評估足夠奶量可用「進去、出來、長回來」三面向：有效含乳與吞嚥聲、每日排尿與排便次數符合日齡、體重於產後十至十四天回到出生體重。哺乳評估要看含乳四要素——嘴巴張大、下唇外翻、含住大部分乳暈、下巴貼近乳房，並聽到規律吞嚥。頻繁含乳卻放下就哭常見於乳汁移出不足或含乳不良，處置方向是矯正含乳與增加頻率。延伸可連結母嬰親善醫院措施、乳汁不足的真性與假性判別，以及新生兒胎便轉為過渡便的時序。",[24,26,29,31],{"term":25,"count":10},"生理性體重減輕",{"term":27,"count":28},"有效含乳評估",1,{"term":30,"count":28},"母嬰親子同室",{"term":32,"count":28},"泌乳建立期照護",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-016","陳女士，G 3 P 1 SA 2 ，採陰道分娩，會陰 4 度裂傷，出院前詢問：「何時可以恢復性生活？」，下列護理指導何者最適當？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-maternal-pediatric-062","吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",62,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-076","有關輪狀病毒（rotavirus）感染引起的兒童急性腸胃炎，下列敘述何者正確？",76,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-maternal-pediatric-034","有關高危險妊娠的敘述，下列何者正確？",34,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-maternal-pediatric-078","有關隱睪症（cryptorchidism），下列敘述何者錯誤？",78,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-032","下列何者不適合使用麥角鹼類藥物（如 Ergonovine）來促進產後的子宮收縮？①妊娠糖尿病 ②前置胎盤 ③子癇前症 ④心臟疾病",32,110,"2026-08-06",1787299006944]