[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-052","nurse-106-2-maternal-pediatric-052",106,2,52,"小維，自然產出生的足月兒。出生後的第二天，小維媽媽親餵母乳時發現小維皮膚呈現深黃色，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 12 mg\u002FdL。護理師初步的護理評估及判斷為何？",{"A":14,"B":15,"C":16,"D":17},"小維為嚴重的病理性黃疸，需換血治療","小維可能會有不可逆的核黃疸腦部疾病","小維有母奶性黃疸，建議停止哺餵母奶","小維有生理性黃疸，為新生兒常見的問題","D",null,[],"本題考點在新生兒生理性黃疸的判讀。生理性黃疸定義為足月兒出生 24 小時後才出現、總膽紅素通常不超過 12–15 mg\u002FdL、一週內自行消退。小維為足月兒、第二天出現、總膽紅素 12 mg\u002FdL 在生理範圍內,符合生理性黃疸,選 D。A 錯在未達換血標準(足月兒多以 20–25 mg\u002FdL 為參考)。B 錯在核黃疸(膽紅素腦病變)發生於膽紅素過高(常 >20–25 mg\u002FdL)沉積於腦部,此值不致。C 錯在母乳性黃疸多在出生 5–7 天達高峰、時間點不符,且現不常規建議停餵母奶。","黃疸鑑別靠『時間軸+數值』:出生 24 小時內出現屬病理性(常見溶血,如 ABO\u002FRh 不合);24 小時後、數值不高、一週內退屬生理性,源於新生兒紅血球壽命短、肝臟葡萄糖醛酸轉移酶(UGT)未成熟。母乳性黃疸分兩型:早發型(哺餵不足致腸肝循環增加)與晚發型(5–7 天後,母乳成分抑制膽紅素代謝)。核黃疸好發於基底核,未結合型膽紅素脂溶性可穿越血腦障壁。",[24,27,30,33,35],{"term":25,"count":26},"生理性黃疸",6,{"term":28,"count":29},"母乳性黃疸",3,{"term":31,"count":32},"總膽紅素正常值",1,{"term":34,"count":32},"核黃疸(膽紅素腦病變)",{"term":36,"count":32},"UGT 酵素不成熟",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-2-maternal-pediatric-053","小萱，出生兩天的早產兒，曾有幾次呼吸暫停的現象，現在小萱的呼吸暫停警鈴響了，下列護理措施何者正確？",53,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-107-1-maternal-pediatric-069","造成嬰幼兒上呼吸道感染及合併中耳炎的原因，下列敘述何者正確？",69,107,{"webId":48,"stem":49,"number":29,"year":50,"session":32},"nurse-108-1-maternal-pediatric-003","王女士，G 1 P 0 ，懷孕 16 週，為增進母親與胎兒的情感連結，下列護理措施何者最適當？",108,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-109-1-maternal-pediatric-041","下列何種中毒情況適合為兒童進行催吐？",41,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-maternal-pediatric-005","有關產前胎兒生理活動評估，下列敘述何者正確？",5,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-maternal-pediatric-039","劉女士，28 歲，因外陰部搔癢、排尿時有灼熱感並有濃稠白色的陰道分泌物，內診時可見陰道壁有乳酪狀白色附著物，最有可能是下列何種病原感染？",39,111,"2026-09-04",1788510699559]