[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-051","nurse-112-2-maternal-pediatric-051",112,2,51,"林小弟，妊娠 31 週，出生一週大，目前體重 1,868 公克，有關林小弟的營養照護，下列敘述何者最正確？",{"A":14,"B":15,"C":16,"D":17},"為滿足口慾，以經口餵食為主，不足部分以靜脈輸液補充","為避免吸吮耗費身體能量，以全靜脈營養提供所需熱量","早產兒配方奶熱量高於母乳，建議餵食早產兒配方奶為主","口胃管灌食時，反抽量大於灌食量一半時，應暫停餵食","D",null,[],"本題考點為早產兒管灌餵食的安全評估指標。依新生兒腸胃道生理，早產兒胃排空慢、易腹脹與壞死性腸炎，口胃管灌食前須反抽（殘餘量）評估耐受度，當反抽量大於前次灌食量的一半時，代表胃排空不良、餵食不耐受，應暫停餵食，故選 D。A 錯在此體重約 1,868 公克且僅一週大的早產兒吸吮吞嚥協調未成熟，經口餵食易嗆咳誤吸，非首選。B 錯在若腸道功能可用應優先腸道餵食（微量餵食）以促進腸道成熟，不宜僅靠全靜脈營養。C 錯在母乳仍是早產兒首選，可搭配母乳添加劑補足熱量與營養，而非以配方奶取代母乳。","早產兒餵食核心是「腸道能用就用腸道」：微量腸道餵食（trophic feeding）可促進腸絨毛發育、減少膽汁鬱積。反抽殘餘量是評估餵食不耐受與早期壞死性腸炎（NEC）的重要指標，殘餘量過多、腹脹、血便、膽汁樣抽出物皆為警訊。母乳對早產兒具免疫與腸道保護優勢，熱量不足時加母乳添加劑而非改配方奶，是常考的觀念校正點。",[24,27,29,31],{"term":25,"count":26},"早產兒餵食",1,{"term":28,"count":26},"反抽殘餘量",{"term":30,"count":26},"壞死性腸炎",{"term":32,"count":26},"母乳與早產兒配方",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-052","小凱為 26 週大的早產兒，有關維持早產兒體溫的照護措施，下列敘述何者不適當？",52,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-018","方小妹，39週頭產式出生，下列何者新生兒身體評估結果為異常發現？",18,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-012","有關產後憂鬱症（postpartum depression）的敘述，下列何者錯誤？",12,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-010","有關生產姿勢，下列敘述何者最不適當？",10,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-034","下列何者為嚴重產後出血的徵象？",34,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-068","有關嬰兒玫瑰疹（roseola infantum），下列何者錯誤？",68,107,"2026-09-04",1788510748422]