[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-017":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-113-2-產兒科護理學-017","nurse-113-2-maternal-pediatric-017",113,2,17,"陳小弟出生第二天，執行親子同室。陳小弟若出現下列何種狀況，護理師應進一步評估？",{"A":14,"B":15,"C":16,"D":17},"整天尿布都沒有濕","半夜醒來二次","大便為綠色","哭的時候沒有眼淚","A",null,[],"本題考點在於新生兒脫水與健康警訊的辨識。出生第二天的新生兒尿量是體液平衡的重要指標，整天尿布都沒濕（A）代表尿量嚴重不足，可能反映攝食不足或脫水，須進一步評估餵食狀況與體液，故為正解。B 半夜醒來兩次屬正常睡眠週期，新生兒本就頻繁醒來喝奶。C 大便為綠色在出生第二天多為胎便轉換期的過渡便（胎便墨綠、逐漸轉為過渡便再至黃便），屬正常生理現象。D 哭時沒有眼淚是因新生兒淚腺尚未發育成熟，約要到出生後數週至數月才會有淚水，非脫水的可靠指標。本題須區分「真正代表異常的尿量減少」與其他看似異常實則正常的表現。","新生兒正常排尿在出生 24 小時內應解尿至少一次，之後隨奶量增加每日可達 6 次以上濕尿布，是評估足夠攝食的黃金指標之一。整天無尿要考慮攝食不足、脫水或泌尿道阻塞。胎便在出生 24–48 小時內排出、墨綠黏稠，之後轉為黃綠色過渡便，均屬正常。新生兒因淚腺與淚管未成熟，哭時無淚屬常態，不能用成人「脫水才無淚」的邏輯推斷。記憶重點：新生兒脫水看尿量、體重、囟門與皮膚彈性，不是看眼淚。",[24,27,29,31],{"term":25,"count":26},"新生兒尿量評估",1,{"term":28,"count":26},"胎便與過渡便",{"term":30,"count":26},"新生兒淚腺未成熟",{"term":32,"count":26},"脫水指標",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-018","有關新生兒過渡期執行即刻母嬰肌膚接觸的敘述，下列何者為最佳時機及其理由？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-014","下列何者最適合採用泌乳期無月經法（LAM）作為避孕方法？",14,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-008","王女士，G 1 P 0 ，已待產 10 小時，子宮頸口擴張 6 cm，尚未破水，宮縮頻率為 40”\u002F3'-5'，她想要泡澡來緩解產痛，但又擔心安全性。下列護理措施何者錯誤？",8,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-056","下列何種腸病毒感染的致病原最容易引起神經系統的併發症？",56,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-020","張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",20,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-054","根據衛生福利部擬訂「2025 年衛生福利政策白皮書」，婦幼健康促進長程指標，下列敘述何者錯誤？",54,108,"2026-09-04",1788510755471]