[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-1-產兒科護理學-019","nurse-113-1-maternal-pediatric-019",113,1,19,"下列何者為評估男性新生兒皮膚飽和度的最佳部位？",{"A":14,"B":15,"C":16,"D":17},"陰囊","四肢末端","眼瞼","腹部","D",null,[],"本題考點在於評估新生兒皮膚飽和度（膚色、黃疸或發紺程度）的最佳部位。依新生兒評估原則，最佳觀察部位為 D「腹部」等軀幹中央部位，因該處皮下脂肪與血流較穩定，較不受環境溫度與末梢循環影響，能真實反映膚色與黃疸進展。A「陰囊」皮膚皺褶多且色素較深，不利觀察。B「四肢末端」易受周邊循環與體溫影響出現生理性肢端發紺（acrocyanosis），無法代表中央膚色。C「眼瞼」面積小，評估膚色飽和度不理想。判別關鍵在選擇受末梢循環影響最小的中央部位，故正解為 D。","臨床延伸：新生兒黃疸評估常採『頭到腳』的漸進原則（Kramer 分區），黃疸由臉、軀幹逐步往四肢末端進展，故觀察軀幹（腹部）能較早且穩定地判讀。評估膚色時應在自然光下、按壓皮膚使微血管排空後觀察回填的底色。肢端發紺（acrocyanosis）在出生後數小時內為正常現象，因周邊循環尚未成熟；但中央性發紺（口唇、舌、軀幹發紺）則屬異常，提示缺氧須進一步評估。因此中央部位是判別真正膚色與缺氧的關鍵區域。",[24,26,28,30],{"term":25,"count":10},"新生兒膚色評估",{"term":27,"count":10},"軀幹中央部位觀察",{"term":29,"count":10},"肢端發紺acrocyanosis",{"term":31,"count":10},"黃疸進展Kramer分區",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-020","王女士，G1P0，妊娠38週，因早期破水入院待產，待產時宮縮頻率及強度均不好，破水30小時後新生兒才娩出。產後第2天出現下列症狀：體溫38.5～39.5℃、惡露呈紅色有惡臭味、子宮底高度臍平、子宮軟、有頭痛及失眠、下腹部壓痛但無反彈性壓痛。上述王女士的身體狀況，其臨床症狀敘述下列何者正確？",20,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"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":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-010","有關第二產程的產痛來源，下列何者錯誤？",10,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-008","有關胎兒呼吸系統發育之敘述，下列何者正確？",8,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-052","有關先天性甲狀腺功能低下症（Congenital Hypothyroidism）之敘述，下列何者錯誤？",52,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-006","羊水指數（AFI）是以超音波觀察羊水量，有關判定之標準，下列何者正確？①小於 10 cm 為羊水過少 ②大於 2000 mL 為羊水過多 ③28 週可達 1000 mL ④約 36 週羊水增加至最高點",6,108,"2026-09-04",1788510750803]