[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-108-2-產兒科護理學-051","nurse-108-2-maternal-pediatric-051",108,2,51,"病童罹患厭食症，於營養復健期間，因過度餵食、體重快速增加可能造成的問題，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"心血管負擔過重","無月經","胃出血","暴食症","A",null,[],"本題考點在於厭食症(anorexia nervosa)營養復健期間的再餵食症候群(refeeding syndrome)風險。依長期飢餓後突然過度餵食的病生理,身體從脂肪代謝快速轉回碳水化合物代謝,胰島素分泌激增使磷、鉀、鎂大量移入細胞內,同時體液滯留,導致低血磷、低血鉀與循環容量負荷驟增,最嚴重可造成心臟衰竭與心律不整,故正確者為A「心血管負擔過重」。B無月經是厭食症本身低體重與低雌激素的結果,非過度餵食造成;C胃出血、D暴食症皆非快速增重的直接併發症。考點在於辨識再餵食症候群的心血管與電解質危機。","再餵食症候群三大電解質變化:低磷(ATP與2,3-DPG合成受阻,最關鍵)、低鉀、低鎂,加上胰島素驅動鈉水滯留,使心臟前負荷驟增而可能衰竭。處置原則為「low and slow」:低熱量起始、緩慢增加、補充磷鉀鎂與維生素B1(thiamine),密切監測電解質與心律。厭食症復健是本症候群最典型的臨床情境,護理須警覺快速增重的隱藏危險。",[24,27,30,32,34],{"term":25,"count":26},"再餵食症候群",3,{"term":28,"count":29},"厭食症",1,{"term":31,"count":29},"低血磷",{"term":33,"count":29},"電解質失衡",{"term":35,"count":29},"心血管負荷",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-maternal-pediatric-052","常見的兒童虐待類型包括身體虐待、情緒（精神）虐待、性虐待及疏忽，有關兒童虐待的敘述，下列何者正確？",52,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-109-1-maternal-pediatric-068","有關 4 歲兒童使用集尿袋收集常規尿液標本，下列敘述何者正確？",68,109,{"webId":47,"stem":48,"number":10,"year":49,"session":29},"nurse-110-1-maternal-pediatric-002","有關產婦接受腰椎硬膜外麻醉術可能發生的合併症，下列何者錯誤？",110,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-111-1-maternal-pediatric-040","有關乳房纖維腺瘤之敘述，下列何者正確？",40,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-maternal-pediatric-004","有關懷孕期的營養指導，下列何者最適當？",4,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-maternal-pediatric-018","有關新生兒過渡期執行即刻母嬰肌膚接觸的敘述，下列何者為最佳時機及其理由？",18,113,"2026-09-04",1788510707259]