[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-045":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-113-1-產兒科護理學-045","nurse-113-1-maternal-pediatric-045",113,1,45,"膽道閉鎖（biliary atresia）是嬰兒先天性疾病之一，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常出現灰白色的大便、暗茶色的尿液","容易影響脂肪的消化吸收，導致水溶性維生素缺乏","膽管炎是手術後常見的合併症之一","提供不需要膽汁消化的中鏈脂肪酸配方奶、高蛋白牛奶為主","B",null,[],"本題考點在於膽道閉鎖(biliary atresia)的病生理與營養照護,屬反向題,選錯誤者。錯誤敘述為B:膽道阻塞使膽汁無法進入腸道,影響的是「脂溶性維生素(A、D、E、K)」的消化吸收,而非水溶性維生素,故B敘述錯誤,選B。A正確:膽汁無法排入腸道故大便呈灰白色(陶土色),膽紅素逆流入血由尿排出使尿色暗茶色。C正確:術後(Kasai手術)膽管炎是常見合併症。D正確:因脂肪吸收障礙,宜給不需膽汁乳化即可吸收的中鏈脂肪酸(MCT)配方及高蛋白飲食。辨識關鍵在「脂溶性」而非「水溶性」維生素缺乏。","膽汁的功能是乳化脂肪、協助脂肪與脂溶性維生素(ADEK)吸收。膽道閉鎖阻斷此路徑,導致脂肪瀉、脂溶性維生素缺乏(如維生素K不足致凝血異常)。治療:Kasai肝門腸吻合術,失敗則需肝臟移植。MCT不需膽鹽乳化可直接吸收。記憶:陶土便+茶色尿+黃疸=阻塞性黃疸;缺的是ADEK。",[24,27,29,31],{"term":25,"count":26},"膽道閉鎖",3,{"term":28,"count":10},"脂溶性維生素ADEK",{"term":30,"count":10},"中鏈脂肪酸MCT",{"term":32,"count":10},"Kasai手術膽管炎",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-046","小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",46,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-113-3-maternal-pediatric-042","有關預防腫瘤溶解症候群（tumor lysis syndrome）所進行的相關處置，下列敘述何者錯誤？",42,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-036","進行腹部觸診時，發現腹脹且右上腹區可以觸摸到像橄欖樣狀腫塊，可判斷是何種疾病？",36,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-034","形成妊娠中期心灼熱感（heart burn）的荷爾蒙為下列何者？",34,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-078","張小妹，9 個月大，體重原為 9 公斤，因腹瀉入院治療。臨床表徵，體重現為 8.3 公斤、囟門凹陷、皮膚及黏膜乾燥、脈搏增加、少尿，有關脫水程度之評估，下列何者正確？",78,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-032","承上題，護理師的處置下列何者不適當？",32,108,"2026-09-04",1788510751013]