[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-109-2-產兒科護理學-056","nurse-109-2-maternal-pediatric-056",109,2,56,"有關早產兒腸胃系統功能，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"早產兒胃容量小且胃腸蠕動弱","心跳及呼吸速率快，新陳代謝快","對脂肪消化能力有限","消化乳糖能力至妊娠 32 週以後才成熟","D",null,[],"本題考點是早產兒腸胃系統功能的限制，選不適當者。早產兒因胃容量小、胃腸蠕動弱（A）、代謝率高使心跳與呼吸較快（B）、膽鹽與脂肪酶不足使脂肪消化能力有限（C），此三者正確。D不適當：乳糖酶（lactase）是最晚成熟的雙醣酶，約需接近足月（約妊娠36週左右）才達足夠成熟量，並非「妊娠32週以後即成熟」；因此早產兒常有乳糖消化不良。故答案D。","腸道雙醣酶成熟順序：蔗糖酶—異麥芽糖酶、麥芽糖酶較早（約28～34週已具相當活性），乳糖酶（lactase）最晚，直到近足月（約34～36週後才快速上升、足月時才充足）。故早產兒對乳糖的消化能力偏弱，臨床上餵養不耐、腹脹、酸便可能與此有關，部分會採用含較低乳糖或水解配方。其他限制一併記憶：胃容量小、賁門括約肌鬆弛易溢吐、腸蠕動不協調、脂肪吸收差（膽鹽與胰脂酶不足）、吸吮—吞嚥—呼吸協調在34週後才成熟。本題關鍵在乳糖酶成熟時程被『提早』敘述，故不適當。",[24,27,29,31],{"term":25,"count":26},"早產兒腸胃功能",1,{"term":28,"count":26},"乳糖酶最晚成熟(近足月)",{"term":30,"count":26},"雙醣酶成熟順序",{"term":32,"count":26},"脂肪消化受限",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"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":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-073","小強，男生，1 個月大，因泌尿道感染住院，有關此疾病敘述與照護，下列何者錯誤？",73,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-maternal-pediatric-007","有關妊娠期婦女需增加熱量攝取之敘述，下列何者正確？",7,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-maternal-pediatric-045","嬰幼兒誤食色彩鮮豔的糖果紙、廣告紙、顏料等，容易引起下列何種物質的中毒，造成中樞神經系統的損傷？",45,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-1-maternal-pediatric-039","有關嬰幼兒呼吸道特性的敘述，下列何者錯誤?",39,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-maternal-pediatric-033","當早產兒出現「呼吸暫停」徵象，下列護理措施何者錯誤？",33,114,"2026-09-04",1788510717558]