[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-047":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-110-1-產兒科護理學-047","nurse-110-1-maternal-pediatric-047",110,1,47,"早產兒吸吮力弱，有關使用口胃管灌食的注意事項，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"插口胃管時先以無菌蒸餾水潤滑","每次餵食前應先檢查胃內殘餘量","灌食時，早產兒頭部抬高大於 30 度","每日攝取熱量宜為 100～120 Kcal\u002Fkg","C",null,[],"本題考點是早產兒口胃管灌食的安全注意事項。考點在於辨識不適當的作法。依吸入性風險與姿勢考量，灌食時將早產兒頭部抬高「大於 30 度」屬過高、並非常規建議角度，姿勢不當反增不適與溢奶風險，故選 C 為不適當。A 插管前以無菌蒸餾水潤滑可減少黏膜摩擦，屬適當。B 每次餵食前檢查胃內殘餘量可評估耐受度與避免過度餵食，屬適當。D 早產兒每日熱量約 100 至 120 大卡每公斤，符合營養需求，屬適當。故不適當者為 C。","早產兒因吸吮吞嚥協調未成熟常需管灌。安全要點：插管以無菌蒸餾水或無菌水潤滑（勿用油性以防吸入性肺炎）、每次灌食前反抽檢查胃殘餘量以評估腸胃耐受、灌食速度緩慢並採頭高側臥約 30 度以內以防溢吐吸入。熱量目標約 100 至 120 大卡每公斤每日以支持追趕生長。灌食後可維持右側臥促進胃排空。理解「角度過高不等於更安全」是本題陷阱所在。",[24,27,29,31],{"term":25,"count":26},"胃殘餘量",2,{"term":28,"count":10},"早產兒管灌",{"term":30,"count":10},"灌食姿勢",{"term":32,"count":10},"熱量需求",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-048","有關兒童疼痛概念與認知的敘述，下列何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-064","有關兒童毛地黃（Digoxin）給藥之護理指導，下列敘述何者正確？",64,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-078","小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",78,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-036","女性月經來潮時的衛生清潔措施，下列何者不適當？",36,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-010","徐女士 30 歲，G 2 P 1 ，懷孕 35 週。因在家感覺子宮規則收縮疼痛，故入院。檢查發現每隔 10 分鐘宮縮一次，持續 30 秒，強度 40 mmHg，內診子宮頸口開 4 公分，70%變薄，胎位為臀位，主訴有很多水從陰道流出。護理師最優先的照護措施為下列何者？",10,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-maternal-pediatric-004","王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",4,115,"2026-09-04",1788510722010]