[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-030":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-030","nurse-112-1-maternal-pediatric-030",112,1,30,"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？",{"A":14,"B":15,"C":16,"D":17},"將接觸新生兒的布單事先預熱","擦乾新生兒後進行母嬰肌膚接觸","使用空調或是加溫設備維持室溫","新生兒出生後應立即沐浴維持體溫","D",null,[],"本題考點為新生兒出生即刻體溫維持措施,屬反向題,須找出不適當者。錯誤(不適當)敘述為 D:新生兒出生後不宜於即刻沐浴,因沐浴會經由蒸發散熱使體溫急遽下降,增加冷緊迫與低血糖風險,故 D 為答案。A 正確,預熱布單可減少傳導散熱;B 正確,擦乾可減少蒸發散熱,母嬰肌膚接觸能以母體體溫穩定新生兒;C 正確,維持適當室溫並用加溫設備可減少對流與輻射散熱。故不適當者為出生後立即沐浴。","新生兒散熱四途徑:蒸發(evaporation)、傳導(conduction)、對流(convection)、輻射(radiation)。出生即刻擦乾對抗蒸發、預熱布單對抗傳導、控制室溫對抗對流、遠離冷牆窗對抗輻射。沐浴延後至體溫穩定(通常出生數小時後)是主流建議,因立即沐浴同時觸發蒸發與傳導兩種散熱。",[24,26,28],{"term":25,"count":10},"新生兒散熱四途徑",{"term":27,"count":10},"冷緊迫",{"term":29,"count":10},"延後沐浴原則",[31,35,40,45,50,55],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-112-1-maternal-pediatric-031","一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",31,{"webId":36,"stem":37,"number":38,"year":9,"session":39},"nurse-112-2-maternal-pediatric-047","有關兒童生理的發展，下列敘述何者正確？",47,2,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-113-1-maternal-pediatric-011","劉女士，G1P0，子宮頸開4公分，每3分鐘宮縮一次，無胎頭骨盆不對稱（CPD），使用硬脊膜外麻醉，持續2 小時都未見胎頭下降，此時最優先之處置為何？",11,113,{"webId":46,"stem":47,"number":48,"year":49,"session":39},"nurse-114-2-maternal-pediatric-009","周女士，G 1 P 0 ，懷孕 39 週。兩小時前由配偶陪同入院待產，目前腹部上裝著電子胎兒監測器臥床休息中。配偶指著機器上的胎心率紀錄紙，問：「這要怎麼看？」。以臺灣目前最常使用的方式為例，下列的說明內容，何者最不適當？",9,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-013","承上題，護理師提供蘇女士背部按摩以減輕疼痛，此護理措施是根據那一種疼痛理論？",13,106,{"webId":56,"stem":57,"number":38,"year":58,"session":10},"nurse-107-1-maternal-pediatric-047","陳小妹，妊娠週數 39 週又 5 天，自然產及使用真空吸引娩出，頭部受到擠壓而嚴重變形，出生體重 3,890 公克，在執行身體評估時觸摸其頭部，發現整個頭皮邊緣有水腫且越過骨縫中線，生命徵象穩定，瞳孔大小及對光反射正常，有關陳小妹頭部的創傷問題，下列何者正確？",107,"2026-09-04",1788510742668]