[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-1-產兒科護理學-072","nurse-107-1-maternal-pediatric-072",107,1,72,"先天性心臟病的嬰兒常因餵食困難而造成營養攝取不足。有關嬰兒餵食的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"選擇小一點的奶嘴洞餵食，避免嗆奶","可 3 小時餵食一次，每次不超過 30 分鐘","吸吮力欠佳的嬰兒，以奶瓶餵食比親餵母奶佳","吸吮力欠佳的嬰兒，需要時可以鼻胃管灌食","A",null,[],"本題考點在於先天性心臟病嬰兒的餵食原則，核心是「省力、省氧、少量多餐」。依此原則，餵食時應選擇奶嘴洞稍大者以減少吸吮所需的力氣與耗氧，A 主張選小洞餵食反而增加吸吮負荷、更易疲累與耗能，故為錯誤敘述，選 A。B 正確：採少量多餐、每次不超過 30 分鐘，避免長時間吸吮耗盡體力。C 正確：吸吮力欠佳者用奶瓶餵食比親餵母乳省力，因親餵需含住乳房並持續用力。D 正確：吸吮力太差、無法由口攝取足量時，必要時可用鼻胃管灌食以確保營養與熱量。","先天性心臟病嬰兒（尤其發紺型或有心衰竭者）餵食困難的機轉是：心臟負荷已大，吸吮又是高耗氧、高耗能的活動，容易一邊喝一邊喘、發紺、冒汗而中斷。護理策略全部圍繞「降低吸吮做工」：大洞奶嘴、半坐臥、少量多餐、必要時管灌，並隨時觀察發紺與呼吸。可對比正常嬰兒餵食選小洞是為了「避免嗆奶」，但心臟病嬰兒的優先順序是省力大於防嗆，這正是本題設計的陷阱。記憶點：健康寶寶怕嗆選小洞，心臟寶寶怕累選大洞。",[24,27,30,32],{"term":25,"count":26},"少量多餐",4,{"term":28,"count":29},"鼻胃管灌食",2,{"term":31,"count":10},"先天性心臟病嬰兒餵食",{"term":33,"count":10},"吸吮耗氧",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,108,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-108-2-maternal-pediatric-023","有關霍曼氏試驗（Homan's test）之敘述，下列何者錯誤？",23,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-2-maternal-pediatric-061","有關病童使用氧氣帳（O 2 tent）之照護，下列何者較適當？",61,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-maternal-pediatric-025","王女士表示：「我不准我兒子來，他們天天吵，太皮了，萬一妹妹怎樣就麻煩了。」下列敘述何者最適當？",25,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-059","有關猩紅熱的臨床表徵，下列敘述何者正確？",59,112,"2026-09-04",1788510703939]