[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-076":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-076","nurse-112-1-maternal-pediatric-076",112,1,76,"有關先天性膽道閉鎖的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常出現水溶性維生素缺乏現象","通常執行膽道切開術後，病童一般預後良好","若未治療，易出現肝硬化、脾腫大現象","糞便內經常含有血絲及暗紅色大便","C",null,[],"本題考點為先天性膽道閉鎖的病生理與預後。正解 C：膽道阻塞使膽汁鬱積，長期未治療會進展為膽汁性肝硬化與脾腫大（門脈高壓）。A 錯，膽汁排出受阻影響「脂溶性維生素（A、D、E、K）」吸收而非水溶性；B 錯，即使及早接受葛西手術（Kasai）預後仍不一定良好、部分終需肝移植；D 錯，典型為灰白色陶土樣大便而非血絲暗紅便，故選 C。","膽道閉鎖為新生兒膽汁鬱積最常見外科病因，特徵三聯：持續性黃疸（直接型膽紅素升高）、灰白便、深茶色尿。膽汁不入腸致脂肪與脂溶性維生素吸收不良（缺 K 易出血）。葛西手術須在出生 8～12 週內施行以延緩肝硬化，仍有多數最終需肝移植。記憶：陶土便＋脂溶維生素缺＋肝硬化。",[24,27,29,31],{"term":25,"count":26},"先天性膽道閉鎖",2,{"term":28,"count":26},"脂溶性維生素缺乏",{"term":30,"count":10},"膽汁鬱積性肝硬化",{"term":32,"count":10},"陶土樣大便",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-maternal-pediatric-077","有關使用格拉斯哥氏昏迷量表（Glasgow Coma Scale, GCS）評估兒童意識程度，下列敘述何者正確？",77,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-013","鄒女士，33 歲，為陰道生產之初產婦。選擇在母嬰親善醫院生產並計劃依循衛生福利部國民健康署對嬰幼兒最佳餵養建議，下列敘述何者不適當？",13,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-113-2-maternal-pediatric-007","李女士，G 1 P 0 ，子宮收縮每 5 分鐘一次，每次持續 40～60 秒，收縮強度為中度，子宮頸口開 6 公分、變薄程度 60%、先露部位 0。下列護理措施何者不適當？",7,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-005","盧女士，G 2 P 1 ，目前懷孕 16 週，常常跟大寶說未來可以跟小寶一起溜滑梯，那會很有趣。此為魯賓（Rubin）理論的那一項母性任務？",5,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-059","小華，5 歲大，疑似細菌性支氣管炎，使用脈衝式血氧分析法（Pulse Oximetry）偵測脈動血氧，下列敘述何者錯誤？",59,106,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-107-2-maternal-pediatric-013","王女士 G 2 P 1 ，在待產活動期時接受腰椎硬膜外麻醉，護理師發現王女士的血壓突然降低，下列護理措施何者最不適宜？",107,"2026-09-04",1788510743106]