[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-059":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-108-1-產兒科護理學-059","nurse-108-1-maternal-pediatric-059",108,1,59,"小文，6 個月大，被診斷胃食道逆流（Gastroesophageal reflux），下列護理指導何者正確？",{"A":14,"B":15,"C":16,"D":17},"添加麥粉或米粉，泡製較濃稠的配方奶","容易溢奶，其嘔吐物含膽汁","餵食後，宜採仰臥平躺姿勢","餵食時，避免拍背排氣引起食物逆流","A",null,[],"本題考點在嬰兒胃食道逆流的餵食護理。將配方奶以少量麥粉或米粉調製得較濃稠，可增加食物重量、減少逆流頻率，是常用的飲食措施，故選 A。選項 B 錯在單純胃食道逆流的溢奶物為未消化的奶，不含膽汁；若嘔吐物帶膽汁（黃綠色）代表膽道以下阻塞，屬病理警訊。選項 C 錯在餵食後應採頭高姿勢或直立、俯臥，仰臥平躺反而促進逆流。選項 D 錯在餵食中與餵食後仍應拍背排氣，減少胃脹與逆流，而非避免拍背。","胃食道逆流機轉：嬰兒下食道括約肌張力未成熟、胃呈水平位、常平躺，易使胃內容物逆流。與肥厚性幽門狹窄鑑別——後者為噴射狀嘔吐、右上腹橄欖狀腫塊、進行性加重且體重不增。處置原則「濃、少、直、拍」——奶濃稠化、少量多餐、餵後直立、確實排氣。可連結概念：下食道括約肌、含膽汁嘔吐代表 Treitz 韌帶以下阻塞、GERD 與生理性溢奶區分。",[24,26,28,30],{"term":25,"count":10},"胃食道逆流",{"term":27,"count":10},"奶方濃稠化",{"term":29,"count":10},"含膽汁嘔吐",{"term":31,"count":10},"餵食後姿勢",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-060","宏宏，8 個月大，因支氣管炎住院接受治療，服用口服藥物的護理指導，下列何者正確？",60,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-maternal-pediatric-076","5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",76,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-109-2-maternal-pediatric-010","下列那個階段是胎兒體重快速增加的時期？",10,109,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-110-2-maternal-pediatric-048","有關為 4 歲的兒童進行身體檢查評估時，下列敘述何者最適當？",48,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-012","陰道分娩過程中，胎盤以暗紅色的粗糙面被牽引出陰道。有關此胎盤娩出的敘述，下列何者正確？ ①希氏法（Schultze mechanism）娩出 ②鄧氏法（Duncan mechanism）娩出 ③較容易發生剝離不完全 ④較少發生剝離不完全",12,112,{"webId":58,"stem":59,"number":60,"year":56,"session":61},"nurse-112-3-maternal-pediatric-046","有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",46,3,"2026-09-04",1788510710721]