[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-018":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-018","nurse-113-2-maternal-pediatric-018",113,2,18,"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？",{"A":14,"B":15,"C":16,"D":17},"相對不反應期，新生兒較能專注在母親身上","第一反應期，新生兒清醒且吸吮反射強","第二反應期，新生兒安靜不哭鬧","絕對反應期，新生兒能快速回應母親的呼喚","B",null,[],"本題考點在於新生兒過渡期的反應期分期與肌膚接觸最佳時機。新生兒出生後歷經第一反應期（出生後約 30 分鐘內）、睡眠與不反應期、第二反應期。第一反應期時新生兒清醒、活動力佳、吸吮反射強烈，是啟動即刻母嬰肌膚接觸與早期哺乳的黃金時段，故選 B。A 相對不反應期是新生兒進入睡眠、活動力降低的階段，並非專注互動的時機，敘述有誤。C 第二反應期雖新生兒再度清醒，但已錯過出生後立即接觸與吸吮反射最強的第一時機，且此期可能出現分泌物增加需留意。D「絕對反應期」並非標準分期名詞，屬杜撰選項。本題須掌握出生後 60–90 分鐘的反應期序列與各期特性。","新生兒過渡期分期：第一反應期（出生後 15–30 分鐘）交感神經活躍、心跳呼吸快、清醒、吸吮尋乳反射強；接著進入不反應／睡眠期（約 30 分鐘至 2 小時），心跳呼吸趨緩、不易喚醒；再進入第二反應期（2–8 小時），可能出現心跳波動、口鼻分泌物增加、首次排胎便。把握第一反應期進行肌膚接觸可促進親子連結、穩定體溫血糖、刺激泌乳。記憶法：出生「先醒後睡再醒」，第一次醒最會吸奶，就是接觸與哺乳的最佳時機。",[24,27,29,31],{"term":25,"count":26},"新生兒過渡期反應期",1,{"term":28,"count":26},"第一反應期吸吮反射",{"term":30,"count":26},"即刻肌膚接觸",{"term":32,"count":26},"早期哺乳時機",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-019","有關正確含乳（suckling）的表徵，下列敘述何者不適當？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-015","有關產後惡露評估，下列敘述何者為正常生理現象？",15,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-009","有關足月胎兒的頭部，下列敘述何者錯誤？",9,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-057","有關出血性登革熱（dengue hemorrhagic fever）敘述，下列護理措施何者錯誤？",57,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-021","陰道生產剛結束的婦女若有尿瀦留的現象，最主要的原因為何？",21,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-055","陳小妹，1 歲半，14 公斤，從火場中被救出，全身 30%的部分皮層燒傷，目前正滴注靜脈輸液，為評估輸液是否適當，陳小妹每小時的尿量應為多少 mL 較適宜？",55,108,"2026-09-04",1788510755474]