[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-產兒科護理學-017","nurse-111-1-maternal-pediatric-017",111,1,17,"陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"鼓勵產婦與寶寶做眼對眼的接觸","以包布覆蓋寶寶保暖並鼓勵觸摸寶寶","延後打維生素 K 1 及先進行肌膚接觸","將新生兒放置保溫箱讓產婦休息","D",null,[],"本題考點為第四產程(產後1-2小時)促進親子依附與新生兒穩定的護理原則。此期強調母嬰同室與早期肌膚接觸,眼對眼接觸有助建立依附,A適宜;以包布保暖並鼓勵觸摸維持親密與體溫,B適宜;延後注射維生素K1、優先進行肌膚接觸符合母嬰親善促進哺乳,C適宜。關鍵在D:將新生兒放入保溫箱使母嬰分離,反而阻斷肌膚接觸與依附建立,且健康足月兒不需常規置入保溫箱,故D不適宜為答案。","第四產程是母嬰bonding黃金期,肌膚接觸(skin-to-skin)可穩定新生兒體溫、血糖、心跳呼吸,並促進母乳分泌與催產素釋放助子宮收縮。母嬰親善醫院措施明確主張分娩後立即且持續的肌膚接觸,非必要不分離。記憶:第四產程=黃金一小時=不分離、早接觸、早吸吮。",[24,27,30,33],{"term":25,"count":26},"親子依附",8,{"term":28,"count":29},"肌膚接觸",4,{"term":31,"count":32},"第四產程",2,{"term":34,"count":10},"維生素K1",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-018","陳女士，產後 1 週，表示有易怒、失眠、沒有食慾、注意力不集中的情形，其最有可能的情況為何？",18,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-111-2-maternal-pediatric-034","王女士，G 1 P 0 ，過去產檢皆正常，於妊娠 32 週產檢時主訴胎動有減少情形，感到很擔心，此時何項處置最適當？",34,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-maternal-pediatric-048","有關新生兒篩檢的敘述，下列何者錯誤？",48,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-maternal-pediatric-036","有關預防造成新生兒猝死之睡眠環境的護理指導，下列敘述何者正確？",36,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-114-2-maternal-pediatric-040","王小妹，6 個月，因熱性痙攣（febrile seizure）出現全身抽搐，王小妹的母親詢問護理師：「再出現全身抽搐時，該如何處置？」，下列護理指導何者最適當？",40,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-maternal-pediatric-034","形成妊娠中期心灼熱感（heart burn）的荷爾蒙為下列何者？",106,"2026-09-04",1788510735466]