[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-106-1-產兒科護理學-030","nurse-106-1-maternal-pediatric-030",106,1,30,"黃小妹採純母乳哺餵，食慾不錯，出生第 3 天媽媽發現黃小妹臉上膚色黃黃的，測得血清膽紅素為 12 mg\u002FdL，護理師的相關解釋何者正確？",{"A":14,"B":15,"C":16,"D":17},"可能是血型不合所導致的病理性黃疸（Pathologic jaundice），要趕快通知醫生做後續治療","可能是核黃疸（Kernicterus）的前驅表現，容易造成黃小妹腦部損傷及智力傷害，最好先照光治療","可能是餵母乳造成的母乳性黃疸（Breast milk jaundice），暫時停止哺餵母乳就會改善","可能是一般的生理性黃疸（Physiologic jaundice），持續注意黃小妹食慾狀況及膚色變化即可","D",null,[],"本題考點為新生兒黃疸的鑑別。依生理性黃疸特徵,足月兒約出生後第2至3天出現、血清膽紅素多不超過12至15 mg\u002FdL、無溶血等病理因素且食慾活力良好者屬之;黃小妹第3天、膽紅素12 mg\u002FdL、食慾佳,最可能為生理性黃疸,持續觀察膚色與活力即可,故選D。選項A血型不合的病理性黃疸多於出生24小時內出現且進展快;選項B核黃疸多在膽紅素遠高於20 mg\u002FdL才需擔心,12 mg\u002FdL言之過早;選項C母乳性黃疸雖存在,但此情境無停餵指標,不需輕率停餵母乳,故皆不如生理性黃疸貼切。","黃疸鑑別看「出現時間+數值+速度」:24小時內出現、膽紅素上升快(每日大於5 mg\u002FdL)、或總值過高,屬病理性(常見血型不合溶血);第2至3天後才出現、上升緩、足月兒峰值約12 mg\u002FdL、活力食慾佳,屬生理性。母乳性黃疸多在1週後、持續較久但嬰兒健康。核黃疸是膽紅素過高沉積腦部的嚴重併發,非12 mg\u002FdL的階段。",[24,27,30,32],{"term":25,"count":26},"生理性黃疸",6,{"term":28,"count":29},"病理性黃疸",2,{"term":31,"count":10},"血清膽紅素",{"term":33,"count":10},"新生兒黃疸鑑別",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-031","妊娠早期之孕婦若感染下列何種疾病，容易導致胎兒先天性心臟病、耳聾、白內障等不良後果？",31,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-maternal-pediatric-047","小銘，2 歲 6 個月，在接受丹佛Ⅱ發展測驗（DDST-Ⅱ）前，護理師向母親解釋進行此測驗的主要目的，除精細及粗動作的評估之外，還包含下列何者？",47,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-maternal-pediatric-061","小玲，5 歲，因疝氣預定接受手術治療，為了減輕其手術的焦慮，下列護理措施何者最適宜？",61,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-maternal-pediatric-019","有關剖腹產術後照護之敘述，下列何者錯誤？",19,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-109-2-maternal-pediatric-063","有關罹患心臟病嬰兒的護理照護，下列何者最適當？",63,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-017","陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",17,111,"2026-09-04",1788510693862]