[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-075","nurse-112-1-maternal-pediatric-075",112,1,75,"小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"攝取高熱量碳水化合物及脂肪類食物，特別限制蛋白質及鹽的攝取","多攝取富含鐵質、葉酸食物以及提供維生素 D，防止出現貧血現象","腹膜炎是常見的合併症，病童及家屬須學習透析部位正確消毒方法","每次透析液約 30～50 mL\u002Fkg 緩慢注入腹內，需停留 20 分鐘再引流出","A",null,[],"本題考點為兒童慢性腎衰竭腹膜透析的飲食與照護指導。B 補充鐵質、葉酸與維生素 D 以防貧血與骨病變（正確）；C 腹膜炎為常見合併症、須教導無菌換液與消毒（正確）；D 透析液依體重緩慢注入並留置一段時間再引流（正確）。較不適當者為 A：腹膜透析過程會經透析液流失蛋白質，飲食應「增加優質蛋白質」而非特別限制，故選 A。此為挑出不當指導的反向題。","腹膜透析與飲食：透析液會帶走蛋白質，故 PD 病人蛋白需求較高（與嚴格限蛋白的保守期慢性腎病不同）；同時因葡萄糖經透析液吸收，須注意熱量與血糖。仍須限鈉、視情況限鉀磷、補充活性維生素 D 與鐵劑（EPO 相關貧血）。腹膜炎徵象：透析液混濁、腹痛、發燒，強調無菌技術。",[24,27,29,31],{"term":25,"count":26},"慢性腎衰竭",2,{"term":28,"count":10},"腹膜透析",{"term":30,"count":10},"蛋白質流失需增加攝取",{"term":32,"count":10},"腹膜炎預防",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-maternal-pediatric-076","有關先天性膽道閉鎖的敘述，下列何者正確？",76,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-012","徐女士，G 2 P 1 ，行子宮下段橫式切開剖腹產（Lower segment Cesarean section），採用脊髓麻醉法，下列術後照護何者錯誤？",12,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-113-2-maternal-pediatric-006","接近預產期婦女在家執行「每日胎兒運動紀錄」，當出現下列何種結果需立即到醫院接受診治？",6,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-004","王女士，懷孕 36 週，第一胎，擔心不知何種情況要前往醫院待產，住家離醫院約 20 分鐘車程，下列指導何者最適當？",4,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-058","小瑛，出生時體重為 3 Kg，有關其體重的發展之評估標準，下列何者正確？",58,106,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",107,"2026-09-04",1788510743088]