[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-052","nurse-112-2-maternal-pediatric-052",112,2,52,"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？",{"A":14,"B":15,"C":16,"D":17},"毛毯包裹及戴帽子，四肢穿戴手腳套","保溫箱溫度設定於 28～30℃，濕度 45～50%","使用塑膠單或塑膠套覆蓋早產兒的身體","將早產兒置於預熱過的輻射加溫處理台上，執行醫療處置","B",null,[],"本題考點在於早產兒保溫箱的溫濕度設定。本題為反向題，錯誤敘述為 B。依早產兒體溫調節生理—體表面積大、皮下脂肪與棕色脂肪少、散熱快，保溫箱溫度應維持在中性溫度環境約 32～35℃、濕度較高（常設 60% 以上）以減少不顯性水分流失，28～30℃ 明顯偏低且濕度不足，無法維持體溫，故 B 不適當為答案。A 適當，包毛毯、戴帽子、穿手腳套可減少頭部與四肢的散熱。C 適當，塑膠單／塑膠套可減少對流與蒸發散熱，是產房穩定早產兒常用措施。D 適當，預熱輻射保溫台可在執行處置時提供輻射熱源維持體溫。","新生兒散熱四途徑：傳導、對流、輻射、蒸發。26 週極早產兒皮膚屏障未成熟，蒸發散熱與不顯性水分流失特別嚴重，故需高濕度環境。中性溫度環境（NTE）指維持核心體溫時代謝耗氧最低的環境溫度，愈小愈早產所需環境溫度愈高。低體溫會誘發寒顫產熱耗氧、代謝性酸中毒與低血糖，是早產兒照護的關鍵防範重點。",[24,27,29,31],{"term":25,"count":26},"早產兒體溫調節",3,{"term":28,"count":26},"中性溫度環境",{"term":30,"count":10},"散熱四途徑",{"term":32,"count":33},"保溫箱溫濕度",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-053","有關慢性疾病兒童與家庭的照護原則，下列敘述何者不適當？",53,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-113-1-maternal-pediatric-019","下列何者為評估男性新生兒皮膚飽和度的最佳部位？",19,113,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-113-3-maternal-pediatric-013","有關哺乳期各種避孕法，下列敘述何者錯誤？",13,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-115-1-maternal-pediatric-011","原本對環境充滿好奇且多言的待產婦突然對護理師說：「你看我腿一直抖…怎麼會這樣…然後我開始感覺現血量變多，宮縮變密且更痛，我是不是快生了啊？」護理師可由其言語與行為判斷產程可能進入下列何階段？",11,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-035","下列何者為罹患乳癌的高危險群？①長期使用雌激素及黃體激素 ②母乳親餵 ③維持身體質量指數（BMI）於 23 ④從未懷孕",35,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-069","有關急性細支氣管炎的敘述，下列何者正確？",69,107,"2026-09-04",1788510748426]