[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-107-1-產兒科護理學-026","nurse-107-1-maternal-pediatric-026",107,1,26,"出生 3 天的足月新生兒，出生體重為 3,000 公克，採純母乳哺餵，下列何項營養評估的結果為異常﹖",{"A":14,"B":15,"C":16,"D":17},"體重為 2,500 公克","大便呈現鬆軟、黃綠色","一天更換三次厚重尿片","吃飽後，尋乳反射變弱","A",null,[],"本題考點在足月純母乳新生兒的營養評估，辨識異常結果。依新生兒生理性體重下降原則，出生後數日可因排出胎便、體液與攝入未穩定而下降，但生理範圍約為出生體重的 5–7%（一般不超過 7–10%）；本例出生 3,000 克，降至 2,500 克為下降約 17%，遠超生理範圍屬異常（提示脫水或攝入不足），故選 A。B 正常，純母乳寶寶大便鬆軟、黃綠至金黃色屬正常。C 正常，一天更換三次以上厚重（有份量）尿片反映攝入與水分足夠，是餵食足夠指標之一。D 正常，吃飽後尋乳反射變弱代表已滿足，屬正常飽足反應。","生理性體重下降：出生後 3–4 天達最低點、約降 5–7%（上限常以 7% 提醒加強哺餵、逾 10% 需醫療評估），約 10–14 天回到出生體重。降 17% 明顯超標，需評估含乳、餵食頻率與脫水徵象。哺餵是否足夠的客觀指標：出生數日後每日濕尿片數漸增（約第 4–5 天起每日 6 片以上）、大便由墨綠胎便轉黃、活力與體重回升。記憶：算百分比＝（3000−2500）\u002F3000≈17%，一眼判異常。可連結概念：生理性體重下降、脫水評估、母乳哺餵充足指標、胎便轉變。",[24,26,28,30],{"term":25,"count":10},"生理性體重下降",{"term":27,"count":10},"純母乳哺餵評估",{"term":29,"count":10},"脫水",{"term":31,"count":10},"尿量與胎便指標",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-027","有關新貝拉德（New Ballard Score）新生兒神經肌肉成熟度的評估方法，下列何者正確？",27,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-043","張太太懷孕 30 週，因早期破水產下重 2,400 公克女嬰，其體重與妊娠週數的關係屬於：",43,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-057","小華，4 歲，因急性腸胃炎住院，護理師與其溝通時，下列何者錯誤？",57,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-015","下列何者為胎兒的先露部位和母親骨盆前後左右的關係？",15,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-059","有關麻疹與德國麻疹的臨床表徵之比較，下列何者正確？",59,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-013","有關待產期間施行陰道內診的敘述，下列何者錯誤？",13,112,"2026-09-04",1788510703494]