[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-115-1-產兒科護理學-046","nurse-115-1-maternal-pediatric-046",115,1,46,"小龍，1 歲大，罹患尿道下裂（hypospadias），今入院進行尿道重建手術，剛由手術室返回病房，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"導尿管固定於腹部或腿上避免牽扯傷口","由於傷口尚未癒合，尿液由陰莖以外區域滲出為一正常反應","鼓勵小龍跨坐父母身上，促進親子關係","需限制水分攝取，以減少尿液滲出影響傷口癒合","A",null,[],"本題考點在尿道下裂重建手術後的傷口與導管照護原則。手術後留置的導尿管或支架管必須妥善固定於腹部或大腿，以避免翻身活動時牽扯而移位、拉傷新建的尿道，故選 A。B 錯在陰莖以外區域滲尿代表可能形成尿道廔管，屬併發症而非正常反應。C 錯在跨坐姿勢會直接壓迫手術部位與導管，術後應避免跨坐或騎乘玩具。D 錯在應維持足夠水分攝取讓尿液稀釋、尿流通暢，以降低導管阻塞與感染風險，限水反而不利。","尿道下裂指尿道開口位於陰莖腹側，常伴陰莖下彎，手術目標是重建尿道、矯正彎曲並改善外觀與站立排尿功能，一般在六至十八個月間施行，術前不建議行割禮以保留可用皮瓣。術後常見併發症為尿道廔管、狹窄與傷口感染，觀察重點是尿柱位置與粗細、敷料滲液性質與導管通暢度。可連結兒童導尿管照護的無菌原則與術後疼痛評估工具的選擇。",[24,26,28,30],{"term":25,"count":10},"尿道下裂重建手術",{"term":27,"count":10},"術後導管固定",{"term":29,"count":10},"尿道廔管併發症",{"term":31,"count":10},"水分攝取維持尿流通暢",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-maternal-pediatric-047","王小弟，8 個月，罹患先天性膽道閉鎖，手術後偶有膽道炎發生，有關飲食護理指導的敘述，下列何者正確？",47,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-maternal-pediatric-043","小明，5 歲，因上呼吸道感染住院，基於以家庭為中心的照護理念，下列何者錯誤？",43,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-maternal-pediatric-057","小明為小一學生，日前罹患水痘，校護對於小明返校上課的建議，下列何者適當？",57,2,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-015","王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",15,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-059","小英，5 個月，採心尖脈測量心跳，有關心尖脈位置之敘述，下列何者正確？",59,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-maternal-pediatric-013","當待產婦有下列何者描述時，可判斷為真陣痛的徵象？",13,110,"2026-08-06",1787299089605]