[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-109-1-產兒科護理學-028","nurse-109-1-maternal-pediatric-028",109,1,28,"下列何者為新生兒黃疸照光治療的原理？",{"A":14,"B":15,"C":16,"D":17},"能讓未結合型膽紅素因光之熱能而加速排出體外","能將未結合型膽紅素異構化使其容易排出體外","能將未結合型膽紅素在肝臟中解體後排出體外","能加速肝臟合成尿甘酸轉化酶與未結合型膽紅素結合","B",null,[],"本題考點在於新生兒黃疸照光治療的作用原理。依光療機轉,藍光波長(約425至475 nm)能使皮膚中脂溶性的未結合型膽紅素發生「光異構化」與結構異構化,轉變為水溶性異構物(如lumirubin),可不經肝臟結合即由膽汁與尿液排出,故選B。A錯在把原理歸於光的「熱能」加速排出,實際作用是光化學異構化而非熱效應。C錯在稱膽紅素於「肝臟中解體」,光療作用發生在皮膚,且未結合型膽紅素本身不需經肝解體。D敘述加速肝臟合成尿甘酸轉化酶與膽紅素結合,那是肝臟結合機轉而非光療原理。因此正解為B。","光療三種光化學反應:結構異構化(生成lumirubin,最主要且不可逆、排除最快)、幾何異構化(生成水溶性異構物,可逆)、光氧化(少量)。重點在於使脂溶性膽紅素「不必先經肝臟結合」即可排出,故適用於以未結合型膽紅素升高為主的黃疸。護理要點連結:遮眼護具保護視網膜、遮蓋生殖器、注意脫水與體溫、監測膽紅素值。可與生理性黃疸、ABO\u002FRh溶血、核黃疸風險一併複習。",[24,26,28,30],{"term":25,"count":10},"光療光異構化",{"term":27,"count":10},"未結合型膽紅素水溶性化",{"term":29,"count":10},"lumirubin",{"term":31,"count":10},"藍光波長作用皮膚",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-029","剛出生的女嬰出現假性月經與母親那一個荷爾蒙中斷有關？",29,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-045","強強 4 歲，誤食退燒藥，至急診求治，診斷為乙醯氨基酚（acetaminophen）中毒，下列敘述何者正確？",45,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-059","有關川崎氏症（Kawasaki disease）的臨床表徵，下列敘述何者錯誤？",59,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-017","使用催產素催生的待產婦女，當發生下列何種情況仍可持續使用催產素促進產程？",17,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-061","傳染力最低的是那種類型的肺炎？",61,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-025","毛女士接受人工受精治療後懷孕併多胞胎妊娠，將接受減胎術，毛女士表示很擔心嬰靈會對自己有不好的影響，下列護理師之回應何者最適當？",25,113,3,"2026-09-04",1788510713321]