[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-078","nurse-108-1-maternal-pediatric-078",108,1,78,"張小弟，2 個月大，經由鼻胃管餵食，下列有關管灌餵食的敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"總灌入量為胃殘餘量加上該次灌食量","如出現嘔吐、腹脹、呼吸暫停等徵象應立即停止灌食","餵食後，採坐姿或左側半坐臥，避免食物逆流","鼻胃管餵食期間，不應給予安撫奶嘴，以免影響呼吸","B",null,[],"本題考點在嬰兒鼻胃管管灌餵食的安全監測。灌食過程中若出現嘔吐、腹脹或呼吸暫停等不耐受徵象，應立即停止灌食並評估，避免吸入與腹脹惡化，故選 B。選項 A 錯在該次總灌入量的計算應扣除胃殘餘量，而非把胃殘餘量再加上灌食量，否則會過度灌入。選項 C 錯在餵食後宜採右側臥或頭高半坐臥以促進胃排空、減少逆流，而非左側臥。選項 D 錯在鼻胃管餵食時可給予安撫奶嘴進行非營養性吸吮，有助建立吸吮與飽足連結、安撫情緒，並不影響呼吸。","管灌前須確認胃管位置並反抽胃殘餘量（GRV）：殘餘量代表上次未排空的奶，需回灌並自本次計畫量中扣除，殘餘過多提示灌食不耐受應暫緩。餵後右側臥利用胃出口在右的解剖位促排空。非營養性吸吮（安撫奶嘴）對早產與管灌嬰兒有助口腔動作發展與安撫，是鼓勵而非禁止。可連結概念：胃殘餘量、非營養性吸吮、吸入風險、灌食不耐受徵象（呼應第 059 題逆流照護）。",[24,26,28,30],{"term":25,"count":10},"鼻胃管管灌",{"term":27,"count":10},"胃殘餘量扣除",{"term":29,"count":10},"灌食不耐受徵象",{"term":31,"count":10},"非營養性吸吮",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-079","協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",79,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-maternal-pediatric-015","有關待產時胎心音之監測，下列敘述何者錯誤？",15,109,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-109-2-maternal-pediatric-029","有關神經系統反射的敘述，下列何者正確？①擁抱反射（moro reflex）是將新生兒突然改變姿勢後，四肢對稱性外展且伸直 ②尋乳反射（rooting reflex）是觸碰新生兒嘴角時出現舌頭伸出的現象，表示新生兒飢餓，應該餵食 ③巴賓斯基反射（Babinski reflex）是以手指自新生兒腳跟沿外側朝趾方向刺激，新生兒腳趾會內縮 ④頸部強直反射（tonic neck reflex）是新生兒平躺時，將頭轉向一側，轉向的那一側手腳會伸展，對側會屈曲狀",29,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-110-2-maternal-pediatric-067","阿強，9 歲，罹患 G-6-PD 缺乏症，因全身黃疸住院治療，有關此疾病之誘發因子，下列敘述何者錯誤？",67,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-031","一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",31,112,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-113-1-maternal-pediatric-015","有關產後婦女之情緒照顧，下列護理指導何者不適當？",113,"2026-09-04",1788510710883]