[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-072":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":26},"nurse-106-1-產兒科護理學-072","nurse-106-1-maternal-pediatric-072",106,1,72,"小明，1 個月大，罹患膽道閉鎖，因發燒、呼吸喘、脾腫大而住院治療，接受鼻胃管灌食，每餐灌食量為 150 mL，護理師灌食前反抽出胃殘餘量 50 mL，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"應暫時停止餵食，並通知醫師","倒掉反抽的胃殘餘量，再灌入 150 mL","將反抽的胃殘餘量灌回，再灌入 100 mL","將反抽的胃殘餘量灌回，再灌入 150 mL","C",null,[],"本題考點為嬰兒鼻胃管灌食前胃殘餘量的處理原則。依灌食安全原則,反抽出的胃殘餘量含胃酸與電解質,應灌回以免流失造成電解質不平衡,並將該殘餘量計入當餐總量,故正確做法是將50 mL殘餘量灌回,再補灌100 mL,使總量維持在原訂的150 mL,選C。A暫停餵食通知醫師適用於殘餘量過多或有腹脹嘔吐等異常,單純50 mL不需;B倒掉殘餘量會造成胃液電解質流失,錯誤;D灌回後再灌150 mL會使總量達200 mL,超過醫囑餵食量而過度餵食,錯誤。","胃殘餘量反映胃排空,一般將抽出物灌回並自當餐扣除以維持定量。若殘餘量過多、或伴腹脹、嘔吐、血性或糞樣抽出物,才暫停並通報。膽道閉鎖嬰兒本就易腹脹脾腫大,更需精算奶量以避免嘔吐吸入。口訣:殘餘灌回、補足到原量、異常才停。",[24,27,29,31],{"term":25,"count":26},"鼻胃管灌食",2,{"term":28,"count":26},"胃殘餘量",{"term":30,"count":10},"電解質平衡",{"term":32,"count":10},"定量餵食",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-073","王小弟，9 歲，將進行腸道手術前的清潔灌腸（cleansing enema），下列護理技術之執行，何者正確？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-maternal-pediatric-009","有關妊娠 9 週的超音波檢查評估項目，下列何者錯誤？",9,107,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-107-2-maternal-pediatric-023","楊女士產後第 10 天，仍有輕微足踝水腫情形，其他的生理徵象均正常，護理師給予的指導何者最適宜？",23,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-maternal-pediatric-061","小健，國中一年級，罹患第一型糖尿病（type 1 diabetes mellitus），有關糖尿病照護，下列敘述何者正確？",61,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-025","陳女士產後小便尚未自解，護理師評估結果為尿瀦留，下列敘述何者正確？",25,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-059","有關川崎氏症的護理指導，下列敘述何者不適當？",59,111,"2026-09-04",1788510694397]