[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-063":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-063","nurse-109-2-maternal-pediatric-063",109,2,63,"有關罹患心臟病嬰兒的護理照護，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"少量多餐，奶瓶餵食時間不要少於 30 分鐘，避免吸得太快太急","心衰竭的嬰兒以低鈉的配方奶取代母乳，減少鈉的攝取量","必要時使用鼻（口）胃管餵食，減少心臟負荷","補充鈣質可增加血紅素的載氧量","C",null,[],"本題考點在於先天性心臟病嬰兒的餵食與護理策略。依減少心臟負荷原則,當經口餵食易疲累、耗氧或攝入不足時,必要時以鼻或口胃管餵食可減少吸吮做功與耗氧,維持熱量攝取,故C最適當。A為避免餵食過久增加耗能與疲勞,單次奶瓶餵食時間應「不超過」約30分鐘,選項寫不要少於30分鐘方向相反;B心衰竭嬰兒不需以低鈉配方奶取代母乳;D血紅素載氧靠鐵而非鈣,補鈣無法增加載氧量,敘述錯誤。","心臟病嬰兒餵食「少量多餐、限時、半坐臥、必要時管灌」以省能。心衰以利尿劑、digoxin與適度限液處理,digoxin須監測心跳與中毒徵象如嘔吐、心律不整。載氧量取決於血紅素與飽和度,故重點在補鐵與矯正貧血而非補鈣。",[24,27,29,31],{"term":25,"count":26},"先天性心臟病餵食",1,{"term":28,"count":26},"減少心臟負荷",{"term":30,"count":26},"管灌餵食",{"term":32,"count":26},"血紅素載氧",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-064","小東 8 個月，診斷為法洛氏四重症（Tetralogy of Fallot），哭鬧厲害全身發紺，此時護理師給予氧氣，並將小東擺為膝胸臥式之目的為何？",64,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-080","有關兒童腦性麻痺的型態及表徵，下列敘述何者不適當？",80,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-maternal-pediatric-014","待產婦的護理紀錄記載胎兒先露部位高度是-1。此紀錄結果是指胎兒先露部位為下圖那一個編號的位置？間徑單位為公分",14,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-maternal-pediatric-052","有關 FLACC（face, legs, activity, cry and consolability）疼痛量表，下列敘述何者錯誤？",52,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-1-maternal-pediatric-046","小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",46,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-maternal-pediatric-040","王小妹，6 個月，因熱性痙攣（febrile seizure）出現全身抽搐，王小妹的母親詢問護理師：「再出現全身抽搐時，該如何處置？」，下列護理指導何者最適當？",40,114,"2026-09-04",1788510717632]