[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-106-2-產兒科護理學-030","nurse-106-2-maternal-pediatric-030",106,2,30,"有關新生兒黃疸的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"生理性黃疸於出生 24 小時內出現，1 週左右達到高峰，然後逐漸下降","多數新生兒黃疸是屬於母乳性黃疸，建議應停餵母奶，改用母乳代用品","足月兒生理性黃疸發生率低於早產兒發生率","因 Rh 或 ABO 血型不合所發生的溶血，是導致生理性黃疸的主因","C",null,[],"本題考點為新生兒黃疸的分類與流行病學。早產兒肝臟接合(conjugation)功能與白蛋白結合能力較差,生理性黃疸發生率高於足月兒,故「足月兒發生率低於早產兒」C正確。A錯誤:生理性黃疸於出生24小時「後」出現、約3～5天達高峰,24小時內出現屬病理性;B錯誤:多數新生兒黃疸為生理性而非母乳性,且母乳性黃疸不需常規停餵母奶;D錯誤:Rh或ABO血型不合造成的是「病理性」溶血性黃疸,非生理性黃疸主因。判準為生理性與病理性黃疸的鑑別。","生理性黃疸機轉:胎兒紅血球壽命短且量多,出生後大量破壞產生膽紅素,加上新生兒肝臟UDP-葡萄糖醛酸轉移酶不成熟、腸肝循環旺盛。病理性警訊:24小時內出現、每日上升超過5 mg\u002FdL、總膽紅素超過15、持續超過2週。母乳性黃疸分早發(餵食不足)與晚發(母乳成分)。口訣:一天內黃是病理,溶血看Rh\u002FABO。",[24,27,30,32],{"term":25,"count":26},"生理性黃疸",6,{"term":28,"count":29},"母乳性黃疸",3,{"term":31,"count":10},"病理性黃疸",{"term":33,"count":34},"早產兒",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-maternal-pediatric-031","有關糖尿病婦女於妊娠期間護理措施之敘述，下列何者正確？",31,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-107-1-maternal-pediatric-047","陳小妹，妊娠週數 39 週又 5 天，自然產及使用真空吸引娩出，頭部受到擠壓而嚴重變形，出生體重 3,890 公克，在執行身體評估時觸摸其頭部，發現整個頭皮邊緣有水腫且越過骨縫中線，生命徵象穩定，瞳孔大小及對光反射正常，有關陳小妹頭部的創傷問題，下列何者正確？",47,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-maternal-pediatric-061","小美，6 個月大，由媽媽抱來接種五合一疫苗，下列護理措施何者適當？",61,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-109-1-maternal-pediatric-019","林女士 G 2 P 2 ，採陰道分娩，產後第 1 天，觸診子宮偏軟，位置與肚臍同高並偏向右側，此時優先的護理評估項目為何？",19,109,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-110-1-maternal-pediatric-063","王小弟，2 歲，因肺部的下葉上節有痰液蓄積，護理師為其執行姿位引流，下列姿勢何者最適當？",63,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-017","使用催產素催生的待產婦女，當發生下列何種情況仍可持續使用催產素促進產程？",17,111,"2026-09-04",1788510699326]