[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-069":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-069","nurse-106-2-maternal-pediatric-069",106,2,69,"郭小妹，妊娠週數 39 週又 4 天，自然產娩出，有關健康新生兒篩檢之時間安排，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"於出生滿 24 小時，或已完全由腸道進食 12 小時後","於出生滿 36 小時，或已完全由腸道進食 24 小時後","於出生滿 48 小時，或已完全由腸道進食 24 小時後","於出生滿 72 小時，或已完全由腸道進食 12 小時後","C",null,[],"本題考點在新生兒代謝疾病篩檢的採檢時機。台灣新生兒篩檢(足跟採血)標準時機為出生滿 48 小時後、且已完全經腸道進食(哺餵)滿 24 小時後採檢,以確保餵食後代謝物(如苯丙胺酸)已累積到可偵測水準、避免偽陰性,選 C。A 錯:出生滿 24 小時、進食 12 小時過早,蛋白質攝取後代謝物尚未足以顯現異常。B 錯:36 小時亦未達 48 小時標準。D 錯:72 小時採血偏晚且進食 12 小時不足 24 小時,間隔條件不符。關鍵在『滿 48 小時+餵食滿 24 小時』的雙重條件,確保篩檢準確度。","新生兒篩檢需在充分蛋白質餵食後採檢,是因某些代謝異常(如苯酮尿症 PKU)須攝入苯丙胺酸後才會累積異常代謝物,太早採血蛋白負荷不足會偽陰性。台灣採足跟血滴於濾紙,篩檢先天代謝異常(PKU、半乳糖血症、先天甲狀腺低下、G-6-PD 缺乏等)。若因故提早出院或未足時採檢,需安排回採複檢。記憶:『滿 48 小時、餵滿 24 小時,才驗得準』。早篩早治可預防不可逆的智能與器官損傷。",[24,27,29,31],{"term":25,"count":26},"新生兒代謝篩檢時機",1,{"term":28,"count":26},"足跟採血",{"term":30,"count":26},"餵食後代謝物累積",{"term":32,"count":26},"苯酮尿症偽陰性避免",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-070","新生兒篩檢之代謝性異常疾病，若未及時治療，下列何者較不會影響智力的發展？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-006","採全素食之孕婦，容易缺少下列何種營養素？",6,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-020","下列那項父親行為最無助於與新生兒建立依附關係？",20,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-058","有關兒童罹患自閉症會出現的身心表徵，下列何者錯誤？",58,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-022","有關新生兒飢餓的暗示行為，下列敘述何者錯誤？",22,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-056","小文，2 歲 6 個月，罹患慢性病長達一年，下列有關其壓力反應之敘述，何者最適當？",56,111,"2026-09-04",1788510699743]