[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-1-產兒科護理學-022","nurse-112-1-maternal-pediatric-022",112,1,22,"坐月子期間純母乳哺餵的母親表示：「為什麼寶寶一喝完奶就解便、大便總是稀稀糊糊的？」下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"最可能是新生兒對母乳過敏，建議改用水解配方奶","後奶含豐富乳糖，乳糖刺激新生兒胃結腸反射，而產生帶酸味的稀糊便","因坐月子期間母親攝取過多高脂食物而影響奶水成分，間接導致稀糊便","母乳水分含量高，新生兒胃結腸反射明顯，來不及將水分吸收而產生稀糊便","D",null,[],"本題考點為純母乳哺餵嬰兒稀糊便的正常生理。母乳水分含量高，且新生兒胃結腸反射（gastrocolic reflex）活躍，一進食即刺激腸蠕動排便，水分來不及吸收而呈稀糊便，屬正常現象，故 D 的護理指導最適當。A 誤判為母乳過敏、C 歸咎母親高脂飲食皆無依據；B 誤稱「後奶含豐富乳糖」，實為前奶乳糖較高，概念錯置，故排除。","純母乳寶寶大便金黃、稀糊、略帶酸味、次數偏多屬正常（母乳好吸收、殘渣少）。胃結腸反射在嬰兒特別明顯，常一吃就解。前奶（foremilk）水分與乳糖較高，後奶（hindmilk）脂肪較高供給熱量；乳糖經腸道發酵產酸使便帶酸味。",[24,27,29,31,33],{"term":25,"count":26},"純母乳哺餵",3,{"term":28,"count":10},"胃結腸反射",{"term":30,"count":10},"稀糊便",{"term":32,"count":10},"前奶後奶",{"term":34,"count":10},"新生兒排便",[36,40,45,49,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-2-maternal-pediatric-039","有關多囊性卵巢疾病的表徵，下列何者錯誤？",39,2,{"webId":46,"stem":47,"number":26,"year":48,"session":10},"nurse-113-1-maternal-pediatric-003","王先生將成為準父親，有關王先生於配偶孕期之心理變化，下列何者最適當？",113,{"webId":50,"stem":51,"number":10,"year":52,"session":44},"nurse-114-2-maternal-pediatric-001","下列何者最能反映當代育齡婦女的平均生育力？",114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,106,{"webId":59,"stem":60,"number":43,"year":61,"session":10},"nurse-107-1-maternal-pediatric-039","有關婦女腹部超音波檢查的護理指導，下列何者正確？",107,"2026-09-04",1788510742597]