[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-產兒科護理學-056","nurse-106-2-maternal-pediatric-056",106,2,56,"鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",{"A":14,"B":15,"C":16,"D":17},"吸不到 5 分鐘就不吸奶，睡著了","呼吸喘，且鼻翼煽動，心跳變慢","嗆奶，咳嗽，膚色改變","會因為呼吸而中止吞嚥","D",null,[],"本題考點在早產兒經口餵食的壓力性行為線索(feeding stress cues)辨識。壓力線索指餵食過程中顯示嬰兒無法負荷的生理\u002F行為警訊,包括:提早停止吸吮嗜睡(A)、呼吸喘、鼻翼煽動、心搏變慢等心肺不穩(B)、嗆奶咳嗽膚色改變(C)。這些都是應暫停餵食的危險訊號。D『會因為呼吸而中止吞嚥』描述的是正常的吸吮-吞嚥-呼吸協調機制——嬰兒本能會在呼吸時暫停吞嚥以保護呼吸道,是正常保護性協調而非壓力表現,故不屬壓力線索,選 D。","早產兒餵食安全建立在吸吮-吞嚥-呼吸(suck-swallow-breathe)三者協調,約 32–34 週後才成熟。壓力線索反映自律神經與心肺代償失衡:心搏過緩、血氧下降、膚色改變、鼻翼煽動、呻吟、嗆咳、嗜睡。正常的『呼吸時暫停吞嚥』是保護氣道的生理協調,代表協調『存在』而非崩解。臨床據此採 cue-based feeding(依線索餵食),出現壓力線索即暫停,避免吸入性肺炎。記憶:壓力=心肺不穩+膚色變+提早累;協調=懂得換氣時停吞。",[24,27,29,31],{"term":25,"count":26},"餵食壓力線索(feeding stress cues)",1,{"term":28,"count":26},"吸吮-吞嚥-呼吸協調",{"term":30,"count":26},"早產兒自律神經穩定度",{"term":32,"count":26},"依線索餵食(cue-based feeding)",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-057","小明為小一學生，日前罹患水痘，校護對於小明返校上課的建議，下列何者適當？",57,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-073","有關心臟病童的藥物使用，下列敘述何者正確？",73,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-007","有關絨毛膜取樣（Chorionic Villus Sampling）之敘述，下列何者錯誤？",7,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-045","李小妹，8 歲，因敗血病住進加護病房，很在意父母親是否準時到病房探視，不斷詢問護理師探病時間。李小妹的行為屬於下列何種情況？",45,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-009","護理師執行腹部四段式操作法之主要目的為何？",9,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-043","玲玲，2 歲 12 公斤，媽媽自己開車載她看醫生，玲玲乘坐汽車的方式，下列何者正確？",43,111,"2026-09-04",1788510699603]