[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-035":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-035","nurse-113-1-maternal-pediatric-035",113,1,35,"小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"為防止腸道受損，應避免測量肛溫","初期觀察小敏是否會出現活動力下降、體溫不穩及呼吸窘迫等症狀","立即禁食，給與全靜脈營養","護理評估發現腸蠕動減慢，嘔吐物不含膽汁","D",null,[],"本題考點在於壞死性腸炎(NEC)的臨床表現與處置,屬反向題,選最不適當者。錯誤敘述為D:NEC典型腸胃徵象是腸蠕動減弱或消失、腹脹,且胃殘留或嘔吐物常「含膽汁」(膽汁樣嘔吐),題目說嘔吐物不含膽汁不符典型表現,故選D。A適當:應避免測肛溫,因可能刺激或穿破脆弱發炎的腸壁。B適當:早期非特異徵象包括活動力下降、體溫不穩、呼吸窘迫與餵食耐受不良。C適當:確診處置為立即禁食(NPO)、腸道休息並給予全靜脈營養(TPN)。辨識關鍵在NEC嘔吐物含膽汁,故「不含膽汁」為錯誤。","NEC好發於早產兒,病生理為腸道缺血、細菌移生與發炎導致腸壁壞死,X光可見腸壁積氣(pneumatosis intestinalis)為特徵。臨床三聯:腹脹、膽汁樣胃殘留\u002F嘔吐、血便。處置:NPO、鼻胃管減壓、TPN、抗生素,惡化或腸穿孔則手術。記憶:早產兒腹脹+膽汁嘔吐+血便=想到NEC。",[24,26,28,30],{"term":25,"count":10},"壞死性腸炎NEC",{"term":27,"count":10},"膽汁樣嘔吐",{"term":29,"count":10},"腸道休息與TPN",{"term":31,"count":10},"避免測肛溫",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-036","有關預防造成新生兒猝死之睡眠環境的護理指導，下列敘述何者正確？",36,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-032","3 歲的小杰生病住進了加護病房第 4 天，小杰顯得安靜、沉默以及對病房的事物不感興趣，其分離焦慮是處於那個時期？",32,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-026","林同學，專科 3 年級生， 1 年前出現情緒低落、無助、悲傷，被診斷為青少年憂鬱症（adolescence’s depression），曾服用 Fluoxetine 及 Paroxetine 治療。近日因實習壓力大，導致失眠、企圖自我傷害。醫師表示憂鬱症復發，須接受治療。下列護理指導何者正確？",26,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-024","有關 Rubin 提出之產後心理適應中的緊執期（Taking-hold phase）之敘述，下列何者正確？",24,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-068","有關兒童會厭炎（epiglottitis）的敘述，下列何者錯誤？",68,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-022","有關母嬰親善醫院的 10 項措施，下列何者可直接促進親子依附關係？",22,108,"2026-09-04",1788510750930]