[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-036","nurse-113-2-maternal-pediatric-036",113,2,36,"有關高膽紅素血症新生兒的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可即早餵食，使膽紅素正常排泄","應每 4 小時翻身一次，以增加照光的持續效果","照光時光源距離皮膚最佳的距離為 30～45 公分","出現黃疸時，立即暫停哺餵母乳","A",null,[],"本題考點在於新生兒高膽紅素血症（黃疸）的護理措施。促進膽紅素排除的關鍵是及早且充足餵食，增加腸蠕動與排便，減少膽紅素經腸肝循環再吸收，故 A「可及早餵食使膽紅素正常排泄」最適當。B 不當，照光治療翻身頻率並非固定每 4 小時，而應更頻繁地變換姿勢以使全身皮膚均勻受光，且每 2 小時左右即需變換並持續哺餵。C 不當，照光燈源與皮膚的建議距離約為 45–50 公分（依機型），30–45 公分過近可能造成體溫過高與皮膚灼傷風險，數值偏低。D 不當，一般生理性黃疸與多數病理性黃疸不需停餵母乳，反而應持續哺餵以促排除；僅少數確診母乳性黃疸且膽紅素極高時才由醫師評估短暫暫停，不應「一出現黃疸就立即停母乳」。本題須掌握「餵食促排除」為黃疸護理核心。","新生兒黃疸病生理：膽紅素經肝臟結合後排入腸道，若餵食不足、腸蠕動慢，未結合膽紅素會經腸肝循環（enterohepatic circulation）再吸收回血中而加重黃疸。故充足餵食（母乳每日 8–12 次）促進排便是第一線措施。照光治療（phototherapy）使皮膚未結合膽紅素轉為水溶性異構物由尿便排出，護理重點：眼部與生殖器遮蓋、裸露最大皮膚面積、頻繁翻身均勻受光、監測體溫與體液（照光增加不感性失水）、監測膽紅素值。母乳性黃疸多數仍鼓勵持續哺餵。記憶法：黃疸護理「多餵、多排、勤翻身、護眼睛」，別隨便停母乳。",[24,27,29,32],{"term":25,"count":26},"照光治療護理",3,{"term":28,"count":10},"腸肝循環",{"term":30,"count":31},"新生兒高膽紅素血症",1,{"term":33,"count":31},"及早餵食促排除",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-037","有關日本腦炎的症狀與處置，下列敘述何者錯誤？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-maternal-pediatric-033","罹患第一型糖尿病兒童的照護趨勢，專業人員運用賦權（empowerment）在以家庭為中心照護的目的，下列何者較適當？",33,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-maternal-pediatric-027","罹患自閉症（autism）病童之行為表現，下列敘述何者錯誤？",27,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-106-1-maternal-pediatric-075","有關沙門氏菌（Salmonella）感染引致的兒童急性腸胃炎，其大便型態之敘述，下列何者正確？",75,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",39,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-073","近年來由於飲食及生活型態的改變，致使那一類型的問題疾病增加？",73,108,"2026-09-04",1788510755634]