[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-106-2-產兒科護理學-065","nurse-106-2-maternal-pediatric-065",106,2,65,"小華，5 歲，罹患大血管轉位（transposition of the great arteries;TGA），此次入院準備接受完全矯正手術。基於小華在心臟方面的認知，護理師應採取以下何種解釋方式較為適當？",{"A":14,"B":15,"C":16,"D":17},"因小華對心臟認知不足，主要以父母親對心臟的認知為護理指導的範疇","畫出人形和心臟的位置，說明手術後心臟會發出較規律清晰的蹦蹦聲","畫出心臟四個腔室的外形，並解釋手術後心臟會如何把血打出去","採開放式問題，並儘量口語化來討論靜脈、動脈及血液循環的功能","B",null,[],"本題考點在學齡前兒童(5 歲)的認知發展階段與衛教方式。依 Piaget,5 歲屬前運思期,思考具體、以自我中心與具象圖像理解,無法處理抽象循環系統概念。故應以簡單具體、貼近身體感受的方式,如畫出人形與心臟位置、用『心臟會發出規律蹦蹦聲』的可感比喻,選 B。A 錯:只教父母而放棄對兒童解釋,不符以兒童為中心。C 錯:解釋四腔室與打血機制過於抽象,超出前運思期理解。D 錯:討論靜脈、動脈、血液循環屬抽象概念,適合形式運思期的較大兒童,不適合 5 歲。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":28,"stem":29,"number":10,"year":9,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840738123]