[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-036":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-036","nurse-114-1-maternal-pediatric-036",114,1,36,"簡小妹為35週出生的早產兒，體重2,400公克，被診斷有高膽紅素血症（hyperbilirubinemia），今抽血所得總膽紅素值（total bilirubin）為26 mg\u002FdL，有關換血治療的護理，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"換血後2小時由靜脈滴注 25% albumin（1 gm\u002Fkg），預防核黃疸","協助醫師放置導管插入臍動脈，或橈動脈、股動脈","每換200 mL的血液，需注射10％葡萄糖溶液2 mL","換血後需追蹤總膽紅素值，觀察期間繼續照光治療","D",null,[],"本題考點在於新生兒高膽紅素血症換血治療的護理。依換血照護原則，換血無法一次移除全部致病因子，且骨髓仍持續產生膽紅素，故換血後仍須追蹤總膽紅素值並持續照光治療以防反彈，選 D。A albumin 應在換血「前」給予以增加游離膽紅素結合、提升清除效率，換血後 2 小時給予時機錯誤。B 換血導管放置於臍「靜脈」而非臍動脈，且不用橈、股動脈，敘述錯誤。C 補充葡萄糖溶液的比例與描述非標準換血規範，屬編造性數值，錯誤。","總膽紅素 26 mg\u002FdL 對 35 週早產兒已達核黃疸（kernicterus）高風險，換血目的是快速移除膽紅素與致敏紅血球。換血多經臍靜脈以雙倍血量交換（約 2 倍血容積可換掉約 85% 紅血球）。核黃疸為非結合型膽紅素沉積於基底核，造成不可逆神經損傷。換血後膽紅素會因組織再平衡而反彈，故須續照光並密集追蹤。",[24,27,29,31],{"term":25,"count":26},"換血治療",2,{"term":28,"count":10},"高膽紅素血症",{"term":30,"count":10},"核黃疸",{"term":32,"count":10},"臍靜脈導管",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-037","小英，6個月，出現輕微發燒、食慾不振、喉嚨痛、耳後及後頸部淋巴結腫大等症狀。他先在臉部出現粉紅色斑丘疹，再漫延至頸部、手臂、軀幹，而後逐漸往下肢發展，但疹子出現3天即消除。小英最可能感染下列何種疾病？",37,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-033","一位 32 週的早產兒在餵食過程中出現腹脹、吐奶和血便。下列那一種情況最有可能是早產兒的併發症？",33,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-maternal-pediatric-027","有關兒童誤食毒物的處理，下列何者最不適當？",27,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-015","下列何者是子宮頸擴張最快的時期？",15,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-059","小文，6 個月大，被診斷胃食道逆流（Gastroesophageal reflux），下列護理指導何者正確？",59,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-maternal-pediatric-013","初產婦廖女士進入產房待產，足月且孕期無其他併發症，目前每 5 分鐘子宮收縮一次，每次約收縮 30 秒，沒有破水，陰道有粉色分泌物，內診發現其子宮頸變薄 80%且已擴張 3 公分，station 0。廖女士詢問是否可以下床走動，下列回應何者較適切？",13,109,"2026-09-04",1788510757958]