[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-108-2-產兒科護理學-026","nurse-108-2-maternal-pediatric-026",108,2,26,"出生第 3 天的新生兒，出現早發性母乳黃疸，產婦擔心是否可以繼續哺餵母乳，下列護理師的回答何者適當？",{"A":14,"B":15,"C":16,"D":17},"應該繼續哺餵母乳","暫停哺餵母乳","減少哺餵母乳次數","暫停由口進食","A",null,[],"本題考點是早發性母乳性黃疸（early-onset breastfeeding jaundice）的處置衛教。依其成因，早發型多因出生頭幾天哺乳量不足、餵食次數少，導致膽紅素經腸肝循環再吸收增加而升高；正確處置是增加而非中斷哺乳，透過頻繁有效哺餵促進排便帶走膽紅素，故選 A（應繼續哺餵母乳）。B「暫停哺餵母乳」反而減少熱量與排便、加重黃疸，且此為晚發性母乳黃疸偶用的鑑別性做法，不適用早發型。C「減少哺餵次數」方向相反。D「暫停由口進食」無依據且影響營養與水分，皆不適當。","區分兩型：早發性（breastfeeding jaundice，生後 2～4 天，因哺乳不足、脫水、腸肝循環增加）→處置重點是『餵多、餵勤、餵有效』（每日 8～12 次）以增排便；晚發性（breast milk jaundice，生後 5～7 天後、可延續數週，與母乳中促進膽紅素再吸收之成分有關）→通常持續哺乳觀察即可。記憶：『早發是餵不夠、要餵更多；晚發是母乳成分、多能續餵』。連結：光照療法用於超過閾值者。",[24,26,29,31],{"term":25,"count":10},"腸肝循環",{"term":27,"count":28},"早發性母乳性黃疸",1,{"term":30,"count":28},"膽紅素代謝",{"term":32,"count":28},"增加哺乳頻率",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-027","有關新生兒的暗示行為之敘述，下列何者錯誤？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-maternal-pediatric-057","有關麻疹（measles）的症狀敘述，下列敘述何者正確？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-maternal-pediatric-015","有關剖腹產的手術前護理措施，下列何者最適當？",15,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-maternal-pediatric-059","有關猩紅熱的臨床表徵，下列敘述何者正確？",59,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-maternal-pediatric-043","小萍診斷為先天性甲狀腺功能低下症，有關血液檢驗值之敘述，下列何者正確？",113,"2026-09-04",1788510707067]