[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-110-2-產兒科護理學-019","nurse-110-2-maternal-pediatric-019",110,2,19,"張女士產後第一天，表示：「初乳黃黃黏黏的，聽說對嬰兒不好，等等我把它擠掉以後再餵奶。」，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"初乳可以促進胎便排出，減少膽紅素再吸收，所以可以減少黃疸的機率","初乳因為不含脂肪但含易消化吸收的乳糖，所以有利消化能力弱的新生兒","初乳含豐富的抗體 IgM，可以保護新生兒不受病菌感染","初乳含的維生素 K 雖然不如成熟乳多，但仍有防止出血的功用","A",null,[],"本題考點為初乳(colostrum)的成分與功能衛教。依初乳特性,其具輕瀉作用可促進胎便排出、減少腸道對膽紅素的再吸收,進而降低新生兒黃疸機率,故正確者為A。(B)初乳並非不含脂肪,且富含蛋白質與抗體,選項描述有誤。(C)初乳最豐富的抗體為分泌型IgA而非IgM,提供腸道黏膜免疫保護。(D)初乳的維生素K含量本就偏低,無法作為預防出血的可靠來源,新生兒仍須另行補充維生素K。考點在於初乳促進胎便排出以減少黃疸的機轉,並澄清「擠掉初乳」的錯誤觀念。","初乳量少色黃、蛋白質與免疫球蛋白(以sIgA為主)豐富、含β胡蘿蔔素、輕瀉助排胎便→減少腸肝循環吸收膽紅素→降低黃疸。母乳維生素K低,故新生兒常規肌注維生素K預防出血性疾病。記憶:「初乳=第一劑疫苗,黃黃很珍貴」。應鼓勵不要擠掉、儘早親餵。可連結:新生兒生理性黃疸、腸肝循環、sIgA黏膜免疫、維生素K缺乏出血。",[24,26,29,31,33],{"term":25,"count":10},"分泌型IgA",{"term":27,"count":28},"初乳(colostrum)",1,{"term":30,"count":28},"促進胎便排出與減少黃疸",{"term":32,"count":28},"腸肝循環與膽紅素",{"term":34,"count":28},"維生素K",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-020","李女士，哺餵母乳，產後出院前表示：「我暫時不想懷孕，想跟以前一樣吃避孕藥，可以考慮使用避孕器，其他方法就不用了。」，下列敘述何者最適當？",20,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-111-1-maternal-pediatric-036","有關 HPV 疫苗，下列敘述何者正確？",36,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-maternal-pediatric-008","丁女士，G 1 P 0 ，妊娠 39 週，常規產檢結果正常。丁女士表示：「最近肚子有下降了，呼吸也更輕鬆了」。預期丁女士伴隨發生的症狀，下列何者可能性最低？",8,112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-114-1-maternal-pediatric-012","有關鼓勵孕產家庭與家中新成員－新生兒的依附關係的建立，下列敘述何者錯誤？",12,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-maternal-pediatric-006","有關懷孕期婦女常見的心理適應，下列敘述何者最適當？",6,115,"2026-09-04",1788510729784]