[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-075":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-075","nurse-111-2-maternal-pediatric-075",111,2,75,"有關兒童因幽門狹窄，需進行幽門切開術（pyloromyotomy），下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"嬰兒需禁食至排氣後，始可給予少量的葡萄糖水或電解質口服液","若給予葡萄糖水未出現嘔吐，8 小時後可開始漸進式給予餵食","餵食時抬高頭部，餵食後應採左側臥或半坐臥位","手術後，易造成腸阻塞宜補充脂溶性維生素","B",null,[],"本題考點為幽門狹窄行幽門切開術(pyloromyotomy)後的餵食進展。術後採漸進式餵食，先由清澈液體(葡萄糖水)試餵，觀察無嘔吐後再逐步增加奶量。B 敘述給予葡萄糖水未嘔吐後、數小時漸進式恢復餵食，符合術後進食原則，為正確選項。A 錯在幽門切開術後不需等到排氣，通常術後數小時即可開始少量清液試餵，非以排氣為準;C 錯在餵食後宜抬高頭部並採右側臥或半坐臥以利胃排空、減少逆流，而非左側臥;D 錯在幽門切開術主要解除幽門阻塞，術後並非造成腸阻塞或需補充脂溶性維生素。考點在於掌握術後漸進式餵食的時序與體位。","肥厚性幽門狹窄多見於出生後 3～6 週男嬰，典型噴射狀非膽汁性嘔吐、右上腹橄欖狀腫塊、可見胃蠕動波。術式為幽門肌切開術解除阻塞。術後漸進餵食:清液→稀釋奶→全奶，觀察嘔吐反應。餵食後右側臥或抬高頭部利於胃排空。",[24,27,30,32],{"term":25,"count":26},"肥厚性幽門狹窄",3,{"term":28,"count":29},"幽門切開術",1,{"term":31,"count":29},"漸進式餵食",{"term":33,"count":29},"術後體位",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-076","小明，14 歲，最近常抱怨大腿肌肉疼痛，經檢查後確認是生長痛（growing pain），下列護理措施何者不適當？",76,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-2-maternal-pediatric-012","張女士，G 1 P 0 ，由先生陪同待產，出現哭叫打罵情形，先生已陪產一天，出現疲憊不堪情形，詢問護理師他該怎麼辦，下列回應何者最不恰當？",12,112,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-112-3-maternal-pediatric-026","小明，1 歲 8 個月大，體重 12 公斤，不慎被熱水燙到，導致前胸 15%的燒傷，立即送醫後經評估為二度燒傷，關於小明的照護措施，下列何者錯誤？",26,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-114-1-maternal-pediatric-024","在已開發國家中會以那些措施預防愛滋病的母子垂直感染？①妊娠期接受完整的抗愛滋病毒藥物治療    ②採剖腹生產   ③新生兒給與預防性口服抗愛滋病毒藥物     ④分娩前母親血中病毒量＜400 copies\u002FmL者方可哺餵母乳",24,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-028","下列何者不屬於兒童疏忽的行為表現？",28,115,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-107-1-maternal-pediatric-012","王女士，懷孕 38 +3 週，因破水，規則陣痛而入院，子宮頸口開 5 cm，先露部位胎頭已固定，下列照護措施何者不適當﹖",107,"2026-09-04",1788510739672]