[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-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-115-1-產兒科護理學-036","nurse-115-1-maternal-pediatric-036",115,1,36,"瀕死兒童出現肌肉緊張力降低，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"腸胃道會出現噁心、嘔吐、便秘或腹瀉等症狀","食慾不佳時可以提供病童少量多餐的方式","吞嚥困難時仍儘量鼓勵由口進食，訓練肌肉張力","有尿瀦留而留置導尿管時，需注意預防感染問題","C",null,[],"本題考點在瀕死兒童肌肉張力下降時的舒適照護判斷。依臨終生理變化，肌肉張力降低會同時影響咽喉肌與吞嚥反射，造成嗆咳與呼吸道異物風險升高，此時繼續鼓勵由口進食以訓練肌肉張力並無實證依據，也違背舒適為優先的目標，故 C 最不適當。A 正確，腸胃道蠕動改變與藥物作用會出現噁心、嘔吐、便秘或腹瀉。B 正確，食慾不佳時少量多餐可減輕負擔並維持進食愉悅。D 正確，留置導尿管期間本就需要落實預防感染的照護。","臨終期常見循環變化、意識改變、呼吸型態不規則、肌肉張力鬆弛與末梢發冷；照護目標由治癒轉為症狀控制與尊嚴維護。吞嚥困難時可改以口腔濕潤、冰棉棒、少量濃稠質地或依家庭意願討論其他營養支持方式，重點在減少痛苦而非達到熱量目標。記憶主軸「舒適優先、症狀為導、家庭同行」。可連結兒童死亡概念的發展階段、預期性哀傷與哀傷輔導。",[24,27,29,31],{"term":25,"count":26},"少量多餐",4,{"term":28,"count":10},"臨終生理變化",{"term":30,"count":10},"吞嚥反射減弱與嗆咳風險",{"term":32,"count":10},"舒適照護目標",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-037","有關腸病毒（enteroviruses infection）護理指導，下列敘述何者最適當？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-033","承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",33,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-maternal-pediatric-047","小銘，2 歲 6 個月，在接受丹佛Ⅱ發展測驗（DDST-Ⅱ）前，護理師向母親解釋進行此測驗的主要目的，除精細及粗動作的評估之外，還包含下列何者？",47,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-005","一位單胞胎孕前 BMI 為 30 的孕婦，其飲食與體重的護理指導，下列何者最適當？",5,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-049","林小弟，13 歲，學校體檢時發現上肢血壓高，鼠蹊脈搏較上肢脈搏微弱，主訴頭痛，常常感覺腳部冰冷，林小弟可能罹患下列何種疾病？",49,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-maternal-pediatric-003","有關第二孕期母血唐氏症四指標（quadruple test）之檢測項目，下列何者錯誤？",3,110,"2026-08-06",1787299089482]