[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-055":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":10},"nurse-112-2-產兒科護理學-055","nurse-112-2-maternal-pediatric-055",112,2,55,"黃小妹為 35 週出生的早產兒，罹患高膽紅素血症（Hyperbilirubinemia），有關傳統照光機執行照光治療的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常出現體溫升高、脫水的副作用","每日採血前須暫停使用照光","需戴不透光眼罩和貼隔光紙於生殖器部位","照光的光源與病童皮膚保持 30～40 公分距離","D",null,[],"本題考點在於新生兒照光治療的光源距離。本題為反向題，錯誤敘述為 D。依照光治療原理，光照強度（irradiance）與有效性隨距離增加而遞減，光源與病童皮膚距離一般維持約 45～50 公分（傳統照光燈約 45 公分），30～40 公分過近，除可能過熱外亦非標準建議距離，故 D 錯誤為答案。A 正確，照光會增加不顯性水分流失與代謝，常見體溫上升與脫水副作用。B 正確，採血檢測膽紅素前應暫停照光，避免光線影響皮膚採檢與判讀。C 正確，須以不透光眼罩保護視網膜、遮蓋生殖器以避免光線傷害。","照光治療利用藍光（波長約 425～475 nm）使未結合膽紅素經光異構化轉為水溶性排出。護理重點：保護眼睛與生殖腺、維持體溫與水分（增加餵食或補液）、翻身增加照射面積、監測膽紅素與大便顏色。距離愈近照度愈強但過近易灼傷與過熱，故取安全有效的標準距離。採血前暫停照光以確保膽紅素判讀準確，是常考細節。",[24,26,29,31],{"term":25,"count":10},"膽紅素光異構化",{"term":27,"count":28},"照光治療",1,{"term":30,"count":28},"光源距離與照度",{"term":32,"count":28},"眼罩與生殖器保護",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-056","有關評估早產兒的生長發展，下列敘述何者最適當？",56,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-maternal-pediatric-022","有關妊娠糖尿病之敘述，下列何者正確？",22,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-016","有關胎盤早期剝離之敘述，下列何者錯誤？",16,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-maternal-pediatric-014","吳女士，G2P1AA1，因胎位不正施行剖腹產，採硬膜外麻醉（epidural anesthesis），剛從恢復室返回病房，其先生表示：「我太太何時可以開始吃東西？」下列護理指導何者最適當？",14,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-038","有關生殖器疱疹之敘述，下列何者正確？",38,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-072","有關罹患心臟病嬰兒服用毛地黃的護理指導，下列何者正確？",72,107,"2026-09-04",1788510748459]