[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-051","nurse-106-1-maternal-pediatric-051",106,1,51,"小維，足月兒，體重 2,800 公克。出生後的第 3 天，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 16 mg\u002FdL，醫囑照光治療，下列何者是最重要的護理目標？",{"A":14,"B":15,"C":16,"D":17},"準備家屬居家照光療法的護理指導","提供眼罩及確保小維有足夠的水分攝取","每小時執行採腳跟血測量小維的膽紅素值","說明照光療法對小維不會造成任何副作用","B",null,[],"本題考點為新生兒照光療法(phototherapy)的護理重點。依照光原理,光線分解膽紅素會增加不顯性水分流失且患兒需裸露,故確保足夠水分攝取以防脫水,並以眼罩保護視網膜避免光傷害,是最重要的護理目標,選B。A 居家照光衛教非住院急性期優先;C 每小時腳跟採血過度侵入且非必要,膽紅素監測有固定頻率,頻繁採血徒增疼痛與感染風險;D 照光療法確有副作用(如脫水、腹瀉、體溫不穩、青銅症),宣稱『不會造成任何副作用』屬錯誤衛教,故不選。","照光護理口訣「遮眼護膚、補水控溫、勤翻身」:眼罩防視網膜損傷、遮蓋生殖器、增加水分因應不顯性喪失、監測體溫與膚色、定時翻身增加受光面積。總膽紅素 16 mg\u002FdL 的足月兒屬需治療範圍。要區分照光的常見副作用(脫水、稀便、皮疹、體溫波動)與嚴重的『青銅症』,理解副作用存在才能否定 D 的絕對化敘述。",[24,27,29,31,33],{"term":25,"count":26},"不顯性水分流失",2,{"term":28,"count":10},"新生兒照光療法",{"term":30,"count":10},"眼罩保護視網膜",{"term":32,"count":10},"水分攝取",{"term":34,"count":10},"膽紅素監測",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-maternal-pediatric-052","李太太患有妊娠糖尿病，懷孕 38 週，自然娩出一女嬰，出生體重 3,800 公克，有關李小妹出生後的照顧，下列敘述何者錯誤？",52,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-106-2-maternal-pediatric-068","有關兒童感染人類免疫缺乏病毒（HIV）的途徑，下列何者錯誤？",68,{"webId":45,"stem":46,"number":26,"year":47,"session":26},"nurse-107-2-maternal-pediatric-002","有關臺灣家庭結構改變的敘述，下列何者錯誤？",107,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-108-2-maternal-pediatric-040","有關更年期婦女的脂質與脂蛋白改變，下列何者錯誤？",40,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-004","有關常見遺傳疾病之敘述，下列何項正確？",4,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-038","王女士，已婚，疑似有骨盆腔炎，有關評估其臨床徵候的敘述，下列何者正確？",38,111,"2026-09-04",1788510694142]