[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-029":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-107-2-產兒科護理學-029","nurse-107-2-maternal-pediatric-029",107,2,29,"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",{"A":14,"B":15,"C":16,"D":17},"①②⑤","②③⑤","①④⑤","②④⑤","D",null,[],"本題考點在新生兒黃疸的表現與照護。正解為 D（②④⑤）：②黃疸依頭至腳、由軀幹中心向四肢末端進展（cephalocaudal），符合膽紅素沉積規律；④可輕壓鼻尖等骨突處使皮膚泛白以觀察黃染程度；⑤照光治療時須以眼罩保護眼睛、遮蓋生殖器避免傷害，皆正確。③新生兒出生第 3 天血中膽紅素大於 14 mg\u002FdL 應評估與處置、不可置之不理，敘述錯誤故排除。①稱黃疸「最先出現於額頭」的定位過於狹隘，黃疸多先見於臉部與鞏膜再往下擴展，此描述不夠精確而未納入正解。故選 D。","新生兒黃疸評估重點：進展方向由頭向腳（可粗估嚴重度，黃染越往下代表膽紅素越高），按壓骨突處觀察皮膚黃染。照光治療（phototherapy）以特定波長藍光將膽紅素轉為水溶性排出，護理須遮眼保護視網膜、遮生殖器、注意脫水與體溫。膽紅素數值須結合出生時數與危險因子判讀（如 Bhutani 曲線）。連結概念：cephalocaudal 進展、照光治療、膽紅素代謝、核黃疸預防。",[24,27,30,32],{"term":25,"count":26},"照光治療護理",3,{"term":28,"count":29},"新生兒黃疸",1,{"term":31,"count":29},"由頭向腳進展",{"term":33,"count":29},"膽紅素評估",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-030","有關新生兒神經成熟度評估之描述，下列何者是早產兒的特徵？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-046","兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",46,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-060","有關新生兒各系統生理特徵與調節，下列何者正確？",60,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-018","待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",18,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-062","小佩，3 歲，因長期出現扁桃腺發炎，此次住院欲進行扁桃腺切除手術，有關手術後護理措施，下列敘述何者正確？",62,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-016","有關初產婦與經產婦於分娩過程的常見變化，下列敘述何者正確？",16,112,"2026-09-04",1788510725907]