[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-2-產兒科護理學-028","nurse-107-2-maternal-pediatric-028",107,2,28,"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？",{"A":14,"B":15,"C":16,"D":17},"心跳及呼吸速率變化大","腸蠕動增加","解胎便","黃疸出現","D",null,[],"本題考點在新生兒出生後過渡期的正常與異常生理現象。出生 2～6 小時屬第一活力期與後續反應期，正常可見心跳呼吸速率變化大（A 正常）、腸蠕動增加（B 正常）、開始解胎便（C 正常）。而黃疸若在出生 24 小時內即出現屬病理性黃疸，常見於溶血或感染，並非過渡期的正常表現，故 D 為異常選項。生理性黃疸通常於出生 2～3 天後才出現。本題要辨識「早發黃疸為異常」，並將其與過渡期的自主神經與腸胃活躍變化區分，故選 D。","新生兒過渡期分三段：第一活力期（出生後 30 分內，心肺活躍、清醒）、睡眠不反應期、第二活力期（2～6 小時，心跳呼吸再度不穩、腸蠕動增加、易吐與解胎便）。黃疸的鑑別關鍵在「時間」：\u003C 24 小時出現為病理性（多為溶血，如 ABO\u002FRh 不合）；2～3 天後出現、屬輕度且能自行消退者為生理性。連結概念：新生兒過渡期、活力期、生理性 vs 病理性黃疸、溶血。",[24,27,29,31],{"term":25,"count":26},"新生兒過渡期",1,{"term":28,"count":26},"活力期",{"term":30,"count":26},"病理性黃疸 24 小時內",{"term":32,"count":26},"胎便",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-029","有關新生兒黃疸之敘述，下列何者正確？①黃疸最先出現於額頭 ②黃疸症狀漸漸由頭往下，由身體中心向外發展至四肢 ③新生兒出生第 3 天血中膽紅素大於 14 mg\u002FdL，不需處理 ④可輕壓鼻尖觀察皮膚黃疸的情形 ⑤新生兒黃疸照光應保護眼睛與生殖器",29,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-045","有關川崎氏症（Kawasaki Disease）的敘述，下列何者錯誤？",45,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-059","有關早產兒視網膜病變，下列敘述何者正確？",59,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",17,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-maternal-pediatric-061","小凱，5 歲，入院診斷為右下肺葉肺炎，急性期發生呼吸窘迫症狀，下列護理措施何者較不適當？",61,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-015","高女士，G 2 P 0 ，懷孕 38 週，因規則陣痛且自然破水而入院待產。待產期間沒有接受硬脊膜外麻醉，已入院待產 13 小時，目前子宮收縮每 2～3 分鐘一次，持續 50 秒，子宮頸口擴張 8 公分，胎兒高度 −1。請問，高女士此時最不可能出現下列何種徵象或行為反應？",15,112,"2026-09-04",1788510725903]