[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-111-2-產兒科護理學-020","nurse-111-2-maternal-pediatric-020",111,2,20,"產後第二天純母乳哺餵的母親詢問：「我的寶寶兩餐之間是否需要餵開水？」下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"6 天內的純母乳寶寶都需要餵開水，避免導致結晶尿","6 天內的純母乳寶寶都需要餵少量開水，避免鵝口瘡","6 個月內的純母乳寶寶皆需要餵開水，避免便秘","6 個月內的純母乳寶寶皆不需要餵開水，避免增加腎臟負荷","D",null,[],"本題考點在純母乳哺育嬰兒是否需額外餵水的衛教。依母乳哺育指引，6個月內純母乳寶寶不需額外餵開水，因母乳含約88%水分已足夠，額外餵水會佔據胃容量、減少母乳攝取，並增加腎臟負荷（嬰兒腎臟濃縮功能尚未成熟），故選D。考點在於6個月內純母乳無須補充開水。選項A、B以「6天內」為界並稱需餵開水，天數與建議皆錯，餵水不能預防結晶尿或鵝口瘡；選項C以「6個月內需餵開水避免便秘」為由亦錯，純母乳寶寶少便秘且不需補水。三個錯項在時間界線與餵水必要性上都錯，唯D同時給對「6個月」與「不需餵水、避免腎臟負荷」兩要點。","純母乳（exclusive breastfeeding）建議前6個月不加任何水或副食品，因母乳水分充足且滲透壓適宜。嬰兒腎臟濃縮能力低，過量水分可能導致水中毒與低血鈉；額外餵水也會降低吸吮刺激而減少泌乳。滿6個月後隨副食品引入才漸給水。WHO與國健署皆以此為母嬰親善核心衛教。留意選項A提及的「結晶尿」在新生兒早期偶見，屬尿酸鹽結晶、多為正常現象，非餵水指徵。",[24,27,30,32],{"term":25,"count":26},"純母乳哺育",3,{"term":28,"count":29},"6個月內不需餵水",1,{"term":31,"count":29},"嬰兒腎臟負荷",{"term":33,"count":29},"母乳親善",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-021","有關產後生命徵象的評估，下列何者正確？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-maternal-pediatric-037","有關絨毛膜癌的敘述，下列何者錯誤？",37,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-051","林小弟，妊娠 31 週，出生一週大，目前體重 1,868 公克，有關林小弟的營養照護，下列敘述何者最正確？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-maternal-pediatric-019","下列何項護理措施較無法改善新生兒溢奶的狀況？",19,113,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-115-1-maternal-pediatric-023","陰道生產之早期產後出血定義，是以生產後 24 小時內出血量至少超過多少？",23,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-maternal-pediatric-037","最常導致婦女泌尿道感染的病原體為何？",106,"2026-09-04",1788510739163]