[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-025":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-112-2-產兒科護理學-025","nurse-112-2-maternal-pediatric-025",112,2,25,"蔡女士，初產婦，新生兒出生體重 3,800 公克。採完全哺餵母乳，護理師進行產後兩週之出院後電話關懷時發現，新生兒出生兩週體重為下降至 3,700 公克。下列何者為最優先的處置？",{"A":14,"B":15,"C":16,"D":17},"肯定個案的堅持母乳哺育，建議增加哺乳的頻率兩天，之後再觀察體重變化","說明體重下降過多時對嬰兒成長的危險，應立即補充配方奶","了解個案飲食狀態，建議增加高蛋白高熱量飲食攝取，以強化母乳營養及產量","鼓勵個案說出自己的感受，告知今日儘快到醫院進行哺乳與新生兒之評估與檢查","D",null,[],"本題考點為新生兒生理性體重減輕的正常界線與異常判斷。考點在於新生兒出生後數日內生理性體重下降至多約 7～10%，並應於出生後 10～14 天回復到出生體重。蔡女士寶寶出生 3,800 公克，兩週後僅 3,700 公克、仍低於出生體重，屬體重回復不良的警訊，須及早評估哺餵成效與健康狀況，故選 D，鼓勵表達感受並儘快回院進行哺乳與新生兒評估檢查。A 僅增加哺乳頻率再觀察兩天會延誤評估；B 逕自要求補充配方奶未先找出原因；C 增加母親飲食熱量無法直接解決體重不增的根本問題。","評估體重不增須系統性檢視：含乳與吸吮姿勢、每日哺乳次數與尿布量、母親泌乳量、以及是否有黃疸、脫水或潛在疾病。純母乳寶寶兩週仍未回到出生體重屬紅旗徵象，需就醫評估以排除餵食不足或病理因素。原則是先完整評估再介入，而非直接補配方奶或只憑母親飲食調整。",[24,27,29,31],{"term":25,"count":26},"新生兒生理性體重減輕",1,{"term":28,"count":26},"出生體重回復時程 10~14 天",{"term":30,"count":26},"母乳哺餵成效評估",{"term":32,"count":26},"護理處置優先順序",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-026","張女士，剖腹產後第一天，表示整個腹部疼痛，全身疲憊無力，不想動，也不要親子同室。下列何項護理措施最適當？",26,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-042","有關兒童副甲狀腺功能低下症（hypoparathyroidism），下列敘述何者錯誤？",42,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-036","有關高膽紅素血症新生兒的護理措施，下列何者最適當？",36,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-034","有關早產兒呼吸暫停的照護處置，下列敘述何者錯誤？",34,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-008","有關無壓力試驗（Non-stress test）的敘述，下列何者正確？",8,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-042","有關瀕死兒童的呼吸與心臟血管生理反應，下列敘述何者錯誤？",107,"2026-09-04",1788510748206]