[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-053":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-108-1-產兒科護理學-053","nurse-108-1-maternal-pediatric-053",108,1,53,"玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",{"A":14,"B":15,"C":16,"D":17},"監測玲玲的用餐情形，直到願意開始進食為止","提供玲玲高熱量食物，每週增加 3 公斤為目標","建立行為契約，與玲玲討論營養攝取目標","邀請父母親參與飲食護理指導，不需轉介家庭心理諮商","C",null,[],"本題考點在神經性厭食症的營養重建護理。厭食症合併扭曲的身體形象與強烈控制需求，護理策略採行為契約，與病人共同討論並訂立可達成的營養攝取目標，藉由賦予其部分自主與明確約定增進配合度，故選 C。選項 A 錯在被動等待病人願意才進食會延誤營養重建，且厭食症常否認病情，須主動且有計畫地介入。選項 B 錯在每週增重 3 公斤過於激進，體重回升過快恐引發再餵食症候群（refeeding syndrome）的電解質失衡，臨床以每週 0.5–1 公斤為安全範圍。選項 D 錯在厭食症與家庭動力密切相關，家庭治療與心理諮商是重要一環，不應排除轉介。","再餵食症候群機轉：長期飢餓後突然大量補充醣類，胰島素上升使磷、鉀、鎂快速移入細胞，造成低血磷、低血鉀、低血鎂與心律不整，故補充須循序漸進並監測電解質。記憶口訣「慢慢加、勤驗血、訂契約」。可連結概念：BMI 13 屬重度過輕（正常 18.5–24），身體形象障礙、行為契約、家庭系統治療。與神經性暴食症對比，暴食症多維持接近正常體重，核心為暴食後代償行為。",[24,27,29,31],{"term":25,"count":26},"神經性厭食症",3,{"term":28,"count":26},"再餵食症候群",{"term":30,"count":10},"行為契約",{"term":32,"count":10},"身體形象障礙",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-054","有關青少年憂鬱症的治療與處置，下列何者正確？",54,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-maternal-pediatric-070","小紅，7 歲，因發燒、咳嗽、流鼻水症狀而入院。診斷為黴漿菌感染性肺炎（mycoplasma pneumonia），下列敘述何者正確？",70,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-109-2-maternal-pediatric-004","懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",4,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-maternal-pediatric-042","小強，5 歲，因溺水急救後送至急診，體溫為 29℃，下列處置何者錯誤？",42,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-006","蔡女士 30 歲，懷孕 14 週，孕前身體質量指數（BMI）30 kg\u002Fm 2 ，下列何者為最優先安排的檢查？",6,112,{"webId":59,"stem":60,"number":61,"year":57,"session":26},"nurse-112-3-maternal-pediatric-040","王小妹疑似心臟病入院檢查，予以抽 ASLO（anti-streptolysin O）抗鏈球菌素檢驗，此檢驗主要是診斷下列何者？",40,"2026-09-04",1788510710655]