# 護理人員教導一位3天大的新生兒的父母有關黃疸的知識。父母應立即回報哪一項發現？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394157&lang=zh-tw  
> language: zh-TW  
> subject: Lifestyle Choices  
> category: HPM

## 題目

護理人員教導一位3天大的新生兒的父母有關黃疸的知識。父母應立即回報哪一項發現？

## 選項

1. 新生兒在兩次餵食之間睡覺。
2. 新生兒難以喚醒且進食狀況差。 **✔ 正確答案**
3. 新生兒在 24 小時內有六片濕尿布。
4. 新生兒的糞便從深色轉變為黃綠色。

**正確答案: 2**

## 解析

難以喚醒和餵食困難可能表示黃疸惡化或生病，應立即回報。足夠的濕尿布和糞便轉變是攝取量及新生兒適應的正常徵兆。父母需要清楚警訊以便追蹤。

## 深入解析

臨床判斷
新生兒衛教重點在於餵食、排出量、警醒度和膚色變化。

記憶提示
黃疸加上進食差：打電話。

## 臨床情境

臨床實務指引
新生兒黃疸的追蹤需考慮出生後小時數、膽紅素風險、餵食充足度、排出量和臨床表現。

注意
新生兒的嗜睡絕不可忽視。

## 重要概念

- **黃疸 (Jaundice)** — 因膽紅素堆積導致的皮膚或眼睛變黃。
- **膽紅素 (Bilirubin)** — 紅血球分解後形成的色素。
- **進食狀況差 (Poor Feeding)** — 攝入不足，可能加劇脫水和黃疸風險。

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