[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"lastmod":59},"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":10},"nurse-112-1-產兒科護理學-029","nurse-112-1-maternal-pediatric-029",112,1,29,"正常新生兒出生 4～6 小時內，最主要的能量來源為何？",{"A":14,"B":15,"C":16,"D":17},"葡萄糖","胺基酸","脂肪酸","棕色脂肪","A",null,[],"本題考點為新生兒出生後即刻的能量代謝來源。依據胎兒期肝醣儲存於出生後被動員的生理機轉,新生兒出生 4 至 6 小時內主要靠肝醣分解產生的葡萄糖維持血糖與供能,故選 A。B 胺基酸主要用於蛋白質合成與生長,非此階段主要即刻能量來源;C 脂肪酸與 D 棕色脂肪(brown fat)的非顫抖性產熱主要用於體溫維持與產熱,而非作為出生後最初數小時的主要供能物質,且棕色脂肪代謝在維持體溫上角色更關鍵。故即刻能量來源為葡萄糖(由肝醣分解而來)。","新生兒出生後臍帶剪斷、母體葡萄糖供應中斷,血糖靠自身肝醣分解維持,故早產或肝醣儲備不足者易低血糖。棕色脂肪的角色是透過非顫抖性產熱維持體溫(新生兒無法有效顫抖產熱),與供能不同。可對比記憶:葡萄糖=即刻能量,棕色脂肪=產熱保暖。選項 D 尾端夾帶之頁碼標記為原卷版面文字,非選項內容。",[24,26,28],{"term":25,"count":10},"新生兒肝醣分解",{"term":27,"count":10},"葡萄糖供能",{"term":29,"count":10},"棕色脂肪產熱",[31,35,40,45,50,55],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-112-1-maternal-pediatric-030","有關維持新生兒出生即刻體溫穩定的措施，下列何者不適當？",30,{"webId":36,"stem":37,"number":38,"year":9,"session":39},"nurse-112-2-maternal-pediatric-046","有關兒童氣質的相關敘述，下列何者錯誤？",46,2,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-113-1-maternal-pediatric-010","胎兒為頭產式，胎頭呈部分屈曲，其最可能以下列那條徑線通過產道？",10,113,{"webId":46,"stem":47,"number":48,"year":49,"session":39},"nurse-114-2-maternal-pediatric-008","王女士，G 1 P 0 ，懷孕 39 週，胎位為 LOA，目前已進入第二產程，胎頭已著冠。此階段，護理師應將杜卜勒（Doppler）置於王女士腹部何處最有機會聽診到清楚的胎心音？",8,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-012","蘇女士，G 2 P 1 ，懷孕 39 週，因現血與陣痛而入院待產。現子宮頸口開 4 公分，主訴宮縮時下腹部及下背疼痛難忍，導致其疼痛的原因為何？",12,106,{"webId":56,"stem":57,"number":38,"year":58,"session":10},"nurse-107-1-maternal-pediatric-046","林小弟，出生時，哭聲宏亮大聲，心跳速率：170 次\u002F分，軀幹顏色粉紅手腳微發紫，四肢屈曲彈性好，吸取鼻腔黏液時，臉部扭曲，其 Apgar score 的評估數值何者正確？",107,"2026-09-04",1788510742664]