[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-064":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":10},"nurse-108-2-產兒科護理學-064","nurse-108-2-maternal-pediatric-064",108,2,64,"凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",{"A":14,"B":15,"C":16,"D":17},"採用之血液，最好為新鮮血液，或不超過 72 小時之血庫血袋，以防止血袋中鉀離子過高","為預防血袋內抗凝血劑所含之檸檬酸，與嬰兒血中鈣結合引起高血鈣，需注射抑鈣激素（calcitonin）","備血之血量為嬰兒全身血量的 3 倍，約 800mL 為原則","如因 Rh 血型不合而發生溶血者，應備 O 型且 Rh 血型為陽性","A",null,[],"本題考點為新生兒高膽紅素血症換血治療（exchange transfusion）的血品選擇與原則。依血庫學，庫存血隨時間紅血球溶解使鉀離子上升，故換血應用新鮮血或不超過 72 小時之血袋以防高血鉀，A 正確。B 錯：抗凝劑檸檬酸會與嬰兒血中鈣結合造成「低血鈣」而非高血鈣，且應補鈣而非注射抑鈣激素。C 錯：備血量約為嬰兒全身血量 2 倍（約 450～500mL），非 3 倍 800mL。D 錯：Rh 血型不合溶血時應備 O 型且 Rh「陰性」血，以免再被抗體攻擊，故正解為 A。","換血指征：血清膽紅素達換血曲線閾值或有膽紅素腦病（kernicterus）風險。雙倍血量換血可置換約 85% 致敏紅血球與抗體。庫血併發症記憶「高鉀、低鈣、低溫、低血糖」：高鉀來自紅血球溶解、低鈣來自檸檬酸螯合。ABO 不合備 O 型血、Rh 不合備 Rh 陰性血，原則是「給不會再被受血者抗體破壞的紅血球」。換血中須監測心律（高鉀致心律不整）與血鈣。",[24,26,29,31],{"term":25,"count":10},"換血治療",{"term":27,"count":28},"膽紅素腦病",1,{"term":30,"count":28},"檸檬酸低血鈣",{"term":32,"count":28},"Rh 血型不合",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-065","依照衛生福利部疾病管制署 106 年公布之「我國現行兒童預防接種時程」，卡介苗（BCG）之建議接種時間為：",65,{"webId":39,"stem":40,"number":28,"year":41,"session":10},"nurse-109-2-maternal-pediatric-001","護理師於婦女產後經由電話協助母親解決哺乳問題，屬於下列何種角色？",109,{"webId":43,"stem":44,"number":45,"year":46,"session":28},"nurse-110-1-maternal-pediatric-015","以下那些護理評估可以知道待產婦已開始進入第二產程？①破水 ②子宮規則收縮 ③陰道排出粉紅色黏液 ④子宮頸完全擴張 ⑤會陰可見胎頭膨出，個案有不自主用力感",15,110,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-maternal-pediatric-053","小方，進入瀕臨死亡狀態，有關瀕死的生命跡象，下列何者最不適當？",53,111,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-2-maternal-pediatric-017","周女士，G 1 P 0 ，懷孕 39 週，因破水且子宮頸口開 3 公分。以臺灣目前臨床實務最常見的電子胎兒監測方式，下列護理師的說明，何者不適當？",17,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-maternal-pediatric-031","有關厭食症的敘述，下列何者錯誤？",31,113,"2026-09-04",1788510707351]