[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-053":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-110-1-產兒科護理學-053","nurse-110-1-maternal-pediatric-053",110,1,53,"張小妹，妊娠 28 週出生，體重 960 公克，有關早產兒的特徵及照護，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"依醫囑由靜脈點滴給予表面張力素（survanta）","若無吸吮及吞嚥反射，以腸道外營養法提供營養","四肢屈曲且內縮，呈現子宮內姿勢","皮膚缺乏皮下脂肪、胎毛少、腳底皺摺多","B",null,[],"本題考點是極低體重早產兒的特徵與營養照護。考點在於辨識正確敘述。依吸吮吞嚥反射發育，妊娠 28 週早產兒若缺乏吸吮與吞嚥反射，無法安全經口進食，須以腸道外營養（全靜脈營養）提供養分，故選 B。A 錯在表面張力素（surfactant）為經氣管內管給藥，並非靜脈點滴。C 錯在早產兒肌張力低，四肢多呈伸展鬆軟而非屈曲內縮的足月子宮內姿勢。D 錯在早產兒皮下脂肪少但胎毛多、腳底皺摺少，與敘述相反。故正確者為 B。","早產兒成熟度評估（如 Ballard 評分）常見特徵：肌張力低呈伸展姿勢、皮膚薄透缺皮下脂肪、胎毛多、腳底皺摺少而淺、乳腺與生殖器發育不足。營養上因吸吮吞嚥協調約妊娠 32 至 34 週才成熟，之前需管灌或腸道外營養。表面張力素用於呼吸窘迫症候群，經氣管內管滴入以降低肺泡表面張力、防塌陷。將「給藥途徑、姿勢、體表特徵」三組對照記憶，即可逐項排除錯誤選項。",[24,26,28,30],{"term":25,"count":10},"早產兒特徵",{"term":27,"count":10},"腸道外營養",{"term":29,"count":10},"表面張力素給藥途徑",{"term":31,"count":10},"肌張力",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-054","有關兒童事故傷害的預防與處置，下列敘述何者正確？",54,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-070","化學治療期間血液檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 320\u002Fmm 3 ，依據檢查結果，下列護理指導何者較適當？",70,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-111-2-maternal-pediatric-004","王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",4,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-042","小澤，8 歲，罹患氣喘，有關促進小澤在學校生活適應，下列敘述何者不適當？",42,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-016","有關胎盤早期剝離之敘述，下列何者錯誤？",16,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-maternal-pediatric-010","有關生產姿勢，下列敘述何者最不適當？",10,115,"2026-09-04",1788510722081]