[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-115-2-產兒科護理學-034","nurse-115-2-maternal-pediatric-034",115,2,34,"黃太太產後到嬰兒室探視因病理性黃疸接受照光治療的黃小弟，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"黃小弟接受照光時，教導黃太太使用嬰兒油進行按摩","關燈、移除黃小弟的眼罩，讓黃太太與黃小弟互動","幫黃小弟換尿布並說明因照光治療會解出黃色糊便","跟黃太太說明每四小時視需要更換黃小弟姿勢","B",null,[],"本題考點在於照光治療期間的護理原則與親子互動安排。照光暫停時關燈並移除眼罩,可讓母親看見嬰兒眼神、促進依附關係,同時檢查眼睛有無分泌物或壓迫,故 B 正確。A 錯在照光期間皮膚不可塗抹嬰兒油或乳液,油脂吸熱容易造成皮膚灼傷。C 錯在膽紅素經腸道排出會使糞便呈稀薄的綠色或深黃綠色,說明成黃色糊便並不正確。D 錯在為使體表受照面積均勻,約每兩小時就需更換姿勢,四小時的間隔過長。","延伸機轉:藍光波長約 425 至 475 奈米,能量被皮膚中未結合型膽紅素吸收後產生光異構化與光氧化,轉為水溶性產物,不需經肝臟結合即可由尿液與糞便排出,因此照光期間糞便偏綠稀、排便次數增加、不顯性水分流失上升。標準護理可整理成一串:全身裸露僅遮生殖器以擴大受照面積、戴不透光眼罩保護視網膜、每兩小時翻身、密集監測體溫與體重、注意水分與餵食量、定期追蹤血中膽紅素而非只看膚色。已知副作用包含皮疹、腹瀉、體溫不穩與青銅嬰症候群。考點設計邏輯:三個錯項各對應一個經典禁忌(油脂、糞便顏色、翻身間隔),正確項則測「照光可暫停以促進依附」這個常被忽略的家庭中心照護觀念。可連結概念:生理性與病理性黃疸區分、換血療法適應症、膽紅素腦病變。",[24,27,29,31,34],{"term":25,"count":26},"照光治療護理",3,{"term":28,"count":10},"膽紅素光異構化",{"term":30,"count":10},"親子依附促進",{"term":32,"count":33},"眼罩與皮膚保護",1,{"term":35,"count":33},"翻身與受照面積",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-maternal-pediatric-035","有關慢性病兒童，提供以家庭為中心之照顧，下列敘述何者較不適當？",35,{"webId":42,"stem":43,"number":33,"year":44,"session":10},"nurse-106-2-maternal-pediatric-001","生產是家庭關係重新開始的重要一環，下列何項醫療院所的政策有助於此理念的推展？",106,{"webId":46,"stem":47,"number":48,"year":49,"session":33},"nurse-107-1-maternal-pediatric-015","下列何者是子宮頸擴張最快的時期？",15,107,{"webId":51,"stem":52,"number":53,"year":54,"session":33},"nurse-108-1-maternal-pediatric-053","玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",53,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-017","下列何者為子宮收縮頻率（frequency）的定義？",17,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-051","依據皮亞傑（Piaget）的認知發展理論，感覺運動期（sensory-motor stage）的孩童，主要在建立何種概念？",51,110,"2026-08-06",1787299007277]