[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-1-產兒科護理學-035","nurse-115-1-maternal-pediatric-035",115,1,35,"小敏，8 歲，罹患肌肉失養症（muscular dystrophy），呼吸急促且有喘鳴聲，經門診入院求治，以家庭為中心的護理措施，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"賦權予小敏的家庭成員，鼓勵小敏的家人參與住院期間的照護決策過程","在住院期間，協助主要照顧者，儘量維持小敏的家庭生活常規","在住院期間，所有決策及溝通，須保持高度的醫護專業控制","小敏住院對家人造成壓力，應提供心理情緒支持，讓家人逐漸適應","C",null,[],"本題考點在以家庭為中心照護的核心信念。依此模式，家庭是孩子生活中的恆定存在，護理人員與家庭是夥伴關係，強調資訊分享、家庭參與決策與尊重家庭的專長，因此把所有決策與溝通都保留在醫護專業的高度控制之下，與夥伴共決的精神相違，最不適當，故選 C。A 符合賦權與參與決策的原則。B 符合維持家庭常規、減少住院對家庭系統衝擊的作法。D 符合提供情緒支持、協助家庭調適慢性病歷程的原則。肌肉失養症屬進展性慢性病，家庭的長期參與更為關鍵。","以家庭為中心照護的四大要素是尊重與尊嚴、資訊分享、參與、協同合作，操作上包括開放式探視、家長參與換藥與擺位、共同訂定照護目標。裘馨型肌肉失養症為性聯隱性遺傳，男童多見，肌肉無力由近端往遠端進展，晚期出現呼吸肌無力與心肌病變，故本次呼吸急促與喘鳴需視為疾病進展的一部分。可連結慢性病家庭調適、預期性哀傷與遺傳諮詢等概念。",[24,27,29,31],{"term":25,"count":26},"以家庭為中心照護",16,{"term":28,"count":10},"賦權與共同決策",{"term":30,"count":10},"慢性病家庭調適",{"term":32,"count":10},"肌肉失養症疾病進展",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-036","瀕死兒童出現肌肉緊張力降低，下列敘述何者最不適當？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-032","沈女士，21 歲，懷孕 30 週產檢時發現血壓 150\u002F100 mmHg，經診治與追蹤 1 個月後，血壓仍維持在 150\u002F100～160\u002F110 mmHg 之間，34 週產檢時血壓 160\u002F100 mmHg 合併尿蛋白(+)及水腫(+)情形，根據這些臨床徵候，沈女士可能罹患下列何項合併症？",32,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-maternal-pediatric-046","小傑，9 歲，罹患先天性心室中膈缺損（VSD），此次利用暑假期間安排到醫院做心導管檢查，檢查後下列何項是小傑最大的壓力源？",46,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-004","懷孕 24 週婦女接受產檢，血壓值：124\u002F80 mmHg、未有水腫，尿液試紙的白蛋白顯現痕跡（trace），下列解釋何者最適當？",4,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-048","有關兒童氣喘（Asthma）的敘述，下列何者正確？",48,109,{"webId":59,"stem":60,"number":47,"year":61,"session":47},"nurse-110-2-maternal-pediatric-002","有關嬰兒正確含乳的注意事項，下列護理指導何者正確？",110,"2026-08-06",1787299089477]