[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-053":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-110-2-產兒科護理學-053","nurse-110-2-maternal-pediatric-053",110,2,53,"早產兒的體溫調節功能不成熟，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"採集中護理，執行醫療照護時避免早產兒離開保溫箱","低出生體重早產兒絕對不能執行袋鼠式護理，以免造成低體溫","使用特殊透明膠膜覆蓋於加熱處理台（warmer），可以減少體熱散失","早產兒抱出保溫箱時需要提供保暖，例如帽子、包被、手套","B",null,[],"本題考點是早產兒體溫調節的護理原則。早產兒棕色脂肪少、皮下脂肪薄、體表面積相對大，產熱不足而散熱快，所有措施都以「維持中性溫度環境、減少散熱」為方向。選項B宣稱低出生體重早產兒「絕對不能」執行袋鼠式護理，與實證相反：袋鼠式護理透過母體肌膚接觸供熱，反而能穩定體溫、心跳與血氧飽和，敘述錯誤，故為答案。A集中護理減少開箱與操作次數，避免溫度波動，正確；C特殊透明膠膜可減少輻射與蒸發散熱，正確；D抱離保溫箱時以帽子、包被保暖以減少散熱，也正確。","新生兒散熱有輻射、傳導、對流、蒸發四途徑，護理即逐一阻斷。袋鼠式護理(Kangaroo care)以母親胸腹皮膚為熱源，屬傳導性保溫，並促進親子依附與哺乳。記憶口訣:早產兒保暖三招—集中護理、透明膜蓋、預熱包被。中性溫度環境(NTE)指維持正常體溫時耗氧與代謝率最低的環境溫度。可連結概念:寒冷壓力→棕色脂肪分解→耗氧與代謝增→易致代謝性酸中毒、低血糖與呼吸窘迫。",[24,27,29,31],{"term":25,"count":26},"早產兒體溫調節",3,{"term":28,"count":26},"袋鼠式護理",{"term":30,"count":26},"中性溫度環境",{"term":32,"count":10},"散熱四途徑",[34,38,44,49,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-054","小衡，7 歲，因妥瑞氏症（Tourette’s disorder），在學校常出現搖頭聳肩、發出狗叫聲，導致班上同學嘲笑，下列護理措施何者不適當？",54,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-111-1-maternal-pediatric-070","小華，11 歲，診斷為副甲狀腺功能低下，下列護理照護措施之敘述，何者較不適當？",70,111,1,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-112-1-maternal-pediatric-004","有關懷孕時因雌性素增加，造成孕期常見的不適，下列敘述何者正確？",4,112,{"webId":50,"stem":51,"number":52,"year":48,"session":26},"nurse-112-3-maternal-pediatric-042","有關兒童副甲狀腺功能低下症（hypoparathyroidism），下列敘述何者錯誤？",42,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-114-1-maternal-pediatric-046","莉莉，4個月，此次因唇裂（cleft lip）住院，醫師安排進行唇裂修補術，在手術後的照護，下列敘述何者較適當？",46,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-040","關於先天性心臟病病童一般術後的護理處置，下列敘述何者錯誤？",40,115,"2026-09-04",1788510730088]