[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-107-1-產兒科護理學-011","nurse-107-1-maternal-pediatric-011",107,1,11,"王女士以陰道產娩出一足月男嬰，其第一、五分鐘的 Apgar scores 分別為 7 分和 8 分，新生兒即刻護理已完成，王女士正在進行會陰縫合，有關首次親子互動之時機，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"向王女士說明新生兒狀態不穩定，須延後親子接觸時間","先送新生兒至嬰兒室仔細檢查後，再決定親子接觸時間","等王女士會陰縫合後，再進行親子接觸","立即將新生兒放到王女士胸腹部，進行親子接觸","D",null,[],"本題考點在產後即刻親子連結的黃金時機。依產科護理原則，新生兒出生後第一小時處於安靜警醒期，眼睛睜開、對母親聲音與皮膚接觸反應最佳，是啟動親子依附與早期哺乳的最佳窗口，故只要生命徵象穩定即應把握，選 D。本例 Apgar 第一、五分鐘為 7、8 分屬穩定，即刻護理也已完成，直接放到母親胸腹部肌膚接觸最恰當。A 錯在虛構「狀態不穩定」延後接觸，與 Apgar 矛盾。B 錯在把健康新生兒送嬰兒室檢查，反而中斷連結且無必要。C 錯在讓接觸等待會陰縫合，白白錯過安靜警醒期；肌膚接觸與縫合可同時進行。","肌膚接觸（skin-to-skin, 又稱袋鼠式護理）好處：穩定新生兒體溫與血糖、促進母體催產素分泌加強子宮收縮並刺激泌乳、藉尋乳反射帶動早期含乳成功。記憶點：出生後反應期依序為第一反應期（出生後約 30 分鐘的安靜警醒，最利連結）→睡眠期→第二反應期。此題設計刻意用「會陰正在縫合」誘導考生選延後，關鍵在辨識縫合與親子接觸並不衝突，且穩定新生兒的親子連結不應被非緊急處置延誤。可連結概念：Klaus & Kennell 母嬰依附理論、安靜警醒期、早期哺乳含乳原則。",[24,27,30,32,34],{"term":25,"count":26},"肌膚接觸",4,{"term":28,"count":29},"Apgar score",2,{"term":31,"count":29},"早期哺乳",{"term":33,"count":10},"親子連結 bonding",{"term":35,"count":10},"安靜警醒期",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-maternal-pediatric-012","王女士，懷孕 38 +3 週，因破水，規則陣痛而入院，子宮頸口開 5 cm，先露部位胎頭已固定，下列照護措施何者不適當﹖",12,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-107-2-maternal-pediatric-028","有關新生兒出生 2～6 小時過渡期常出現的生理現象，下列何者異常？",28,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-maternal-pediatric-042","下列何者是 2 歲幼兒對疼痛最不常採取的反應？",42,108,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-109-1-maternal-pediatric-080","有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",80,109,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-110-2-maternal-pediatric-044","針對注意力不足／過動症（attention deficit hyperactivity disorder, ADHD）的行為表現與診斷之敘述，下列何者錯誤？",44,110,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-111-2-maternal-pediatric-078","小強，7 歲，罹患癲癇，有長期服用抗癲癇藥，包括 Phenytoin(Dilantin)及 Valproic acid(Depakine)，有關藥物護理指導，下列敘述何者錯誤？",78,111,"2026-09-04",1788510703347]