[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-075","nurse-109-2-maternal-pediatric-075",109,2,75,"兒童健康手冊有嬰兒大便卡，請家長比對嬰兒大便的顏色，可早期發現膽道閉鎖兒，主要目的為何？",{"A":14,"B":15,"C":16,"D":17},"預防核黃疸，減少神經損傷","早期給予特殊奶粉，減少代謝異常","儘早進行手術，減少肝臟損傷","儘快給予排膽劑，以利膽汁排出","C",null,[],"本題考點為嬰兒大便卡篩檢膽道閉鎖的臨床目的。依膽道閉鎖的治療時效，葛西手術（Kasai procedure）須在出生後約六十天內完成，愈早重建膽汁引流、愈能減少膽汁鬱積對肝臟的持續破壞，故大便卡比對灰白便的目的在於儘早發現、儘早手術以減少肝臟損傷，選 C。A 核黃疸源於未結合型膽紅素過高，膽道閉鎖屬結合型（直接型）膽紅素上升，不會造成核黃疸。B 特殊奶粉是代謝性疾病的處置，非膽道閉鎖治療。D 膽道閉鎖為結構性阻塞，給排膽劑無法打通閉鎖的膽道。","膽道閉鎖是新生兒外科急症，肝外膽管纖維化閉鎖致膽汁無法排入腸道，糞便呈灰白陶土色、尿呈深黃。大便卡（九色卡）讓家長及早辨識異常便色。時效觀念：六十天是葛西手術黃金期，錯過則肝硬化風險大增，終致需肝臟移植。",[24,27,30,32],{"term":25,"count":26},"膽道閉鎖",3,{"term":28,"count":29},"葛西手術",1,{"term":31,"count":29},"結合型膽紅素",{"term":33,"count":29},"大便卡篩檢",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-maternal-pediatric-076","陳小弟 11 歲，因闌尾炎進行盲腸切除術。有關手術後護理措施，下列敘述何者正確？",76,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-maternal-pediatric-012","有關待產婦呼吸技巧之敘述，下列何者錯誤？",12,110,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-111-1-maternal-pediatric-026","新生兒出生後 1 分鐘，哭聲宏亮，呼吸規則，心跳 128 次／分，四肢略屈曲，身體呈粉紅色，四肢為藍色，阿帕嘉計分（Apgar score）為幾分？",26,111,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-1-maternal-pediatric-064","母親懷孕早期感染下列何種疾病，易導致新生兒罹患先天性心臟病？",64,112,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-113-2-maternal-pediatric-008","吳女士，G 1 P 0 ，懷孕 38 週，主述：「下面濕濕的，不知道是不是破水了？」。下列何種檢測可以確認破水？",8,113,{"webId":60,"stem":61,"number":10,"year":62,"session":26},"nurse-114-3-maternal-pediatric-002","提供新住民婦女產科照護時，下列敘述何者最適當？",114,"2026-09-04",1788510717738]