[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-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-114-1-產兒科護理學-019","nurse-114-1-maternal-pediatric-019",114,1,19,"採純母乳哺餵之健康新生兒出生體重為3,900公克，出生第三天體重降為3,700公克，父母非常擔憂該新生兒體重降低的狀況，此時最適合的護理指導為何？",{"A":14,"B":15,"C":16,"D":17},"三天內體重減輕200公克可能與新生兒腸胃道吸收功能不佳有關，需要請醫師檢查","出生前幾日的體重減輕可能與生理性黃疸有關，應該要立即抽血檢查","三天內體重減輕200公克與母乳分泌不足有關，教導母親應多喝水與多食用高蛋白食物","此為正常新生兒生理性體重流失現象，增加哺餵次數體重會慢慢恢復，不必太過擔憂","D",null,[],"本題考點在於新生兒生理性體重流失的判讀與衛教。依新生兒生理，出生後數日因排出胎便、尿液及細胞外液，並攝食量尚少，體重可下降達出生體重的 7～10%，屬正常現象，之後隨哺餵增加逐漸回升，約 10～14 天回到出生體重。本例 3900 降至 3700 約減 5%，屬正常範圍，最適合的指導為 D：屬生理性流失、增加哺餵次數即會恢復、不必過度擔憂。A 歸因腸胃吸收不佳、B 歸因黃疸須抽血、C 歸因母乳不足要多喝水多吃高蛋白，皆屬過度醫療化且非正確機轉，故錯誤。","生理性體重流失界線約 7–10%（早產兒可略多），超過或持續下降未回升才需評估脫水、餵食不足或病理因素。純母乳兒體重回升略慢屬正常，重點在增加親餵頻率（每日 8–12 次）與觀察尿量、活力。母親多喝水並不會顯著增加泌乳量，屬常見迷思。",[24,27,29,31],{"term":25,"count":26},"純母乳哺餵",3,{"term":28,"count":10},"生理性體重流失",{"term":30,"count":10},"新生兒體液排出",{"term":32,"count":10},"哺餵頻率",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-020","王女士使用催產素引產，胎兒監測器呈現宮縮頻率及持續時間為 60\" \u002F1'30\" -2'，宮縮時壓力100 mmHg，子宮頸口一直停留在4公分，胎心音為135～150 bpm，下列何者為最優先處置？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-114-3-maternal-pediatric-016","有關產後憂鬱，下列敘述何者錯誤？",16,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-maternal-pediatric-010","監測待產婦胎心速率時，護理師發現胎心監測紀錄在胎動時有胎心率加速 10 bpm 的情形，下列何項處置較適宜？",10,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-106-2-maternal-pediatric-078","小明，7 歲，在練習游泳時，被同學推入泳池中，因溺水而窒息，經救生員急救後，送醫院治療，目前懷疑腦幹及延髓受損，有關小明的呼吸型態，下列何者較可能出現？",78,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-042","下列何者是 2 歲幼兒對疼痛最不常採取的反應？",42,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,109,"2026-09-04",1788510757789]