[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-019":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-019","nurse-113-2-maternal-pediatric-019",113,2,19,"有關正確含乳（suckling）的表徵，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"嬰兒口腔由下往上不對稱（asymmetric）含住一大口乳房組織","嬰兒上下唇如魚嘴般，尤其是下唇外翻","嬰兒嘴巴張得很大且兩頰飽滿","嬰兒吸吮與吞嚥頻率，平穩地維持 1：1，約一秒一次","D",null,[],"本題考點在於正確含乳（latch-on）的判斷指標，屬反向題，要找出「不適當」的敘述。錯誤敘述為 D，正確含乳時吸吮與吞嚥的比例並非固定僵化的 1:1、一秒一次，而是隨泌乳反射與奶陣呈現「數次吸吮後一次吞嚥」且節律會變化，故 D 描述過度制式化，為不適當。A 正確，含乳時嬰兒下巴先貼乳房、由下往上不對稱地含入大口乳房組織，使乳暈下方含得比上方多，利於擠壓乳竇。B 正確，上下唇外翻如魚嘴、尤其下唇外翻是良好含乳的表徵。C 正確，嘴巴張大、兩頰飽滿不內凹代表含得深且有效吸吮。本題須辨識有效含乳的口腔姿勢與吸吮吞嚥節律的真實樣態。","有效含乳（deep latch）要點記為「大口、外翻、不對稱、下巴貼」：嘴張大超過 120 度、下唇外翻、含入乳暈下緣較多（不對稱）、下巴緊貼乳房、兩頰圓鼓無凹陷、聽得到規律吞嚥聲。吸吮型態初期為快而淺的刺激性吸吮引發噴乳反射，噴乳後轉為慢而深的營養性吸吮，並非一成不變的 1:1。含乳不良的警訊：只含乳頭、唇內捲、兩頰凹陷、咂嘴聲、乳頭疼痛破皮。掌握這些可用來衛教哺乳姿勢與判斷是否需調整。",[24,27,29,31],{"term":25,"count":26},"正確含乳指標",1,{"term":28,"count":26},"不對稱含乳",{"term":30,"count":26},"下唇外翻",{"term":32,"count":26},"吸吮吞嚥節律",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-020","有關羊水栓塞（amniotic fluid embolism）之相關敘述，下列何者錯誤？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-016","有關哺餵母乳的好處，下列敘述何者正確？",16,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-010","王女士，G 1 P 0 ，懷孕 41 週，子宮頸口已開全。護理師等王女士出現想用力的感覺時，開始鼓勵她順著感覺向下用力，並依自己舒適的方式，發出聲音用力。有關護理師教導的這種方式，相較於傳統的閉氣用力，下列敘述何者錯誤？",10,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-058","小瑛，出生時體重為 3 Kg，有關其體重的發展之評估標準，下列何者正確？",58,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-022","有關結紮手術之敘述，下列何者正確？",22,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-056","阿帕嘉評分（Apgar score）是最常用來評估新生兒對子宮外生活立即適應的方法。下列何者不是阿帕嘉評分的計分項目？",56,108,"2026-09-04",1788510755477]