[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-2-產兒科護理學-033","nurse-115-2-maternal-pediatric-033",115,2,33,"評估嬰兒術後疼痛，下列量表何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"數字量表（numetric rating scale）","臉譜量表（faces rating scale）","FLACC 行為疼痛評估量表","視覺類比量表（visual analog scale）","C",null,[],"本題考點在於疼痛評估工具必須符合認知與語言發展程度。嬰兒無法自述疼痛,只能依客觀行為觀察,FLACC 由臉部表情、腿部動作、活動度、哭泣與可安撫性五個面向評分,適用於無語言表達能力的嬰幼兒,故最適宜,選 C。A 數字量表要求理解數字序列與比例概念,通常八歲以上才適用。B 臉譜量表需能指認並比較表情,約三歲以上學齡前兒童才能使用。D 視覺類比量表需把主觀感受轉換到線段位置,抽象度更高,適用於較大兒童與成人。","延伸對照:兒科疼痛量表按年齡排成一條線最好記,新生兒用 NIPS 或 PIPP,約兩個月到七歲的無法自述者用 FLACC,三歲以上可用 Wong-Baker 臉譜量表,八歲以上使用數字量表或視覺類比量表。FLACC 五項各計零到二分,總分零到十分,與成人的零到十分制可直接對照,方便交班與追蹤。行為量表的限制是會受鎮靜劑、肌肉鬆弛劑與長期疼痛適應影響,分數低不等於沒有疼痛,術後常搭配生理指標與家長觀察一起判讀。考點設計邏輯:自述型與行為觀察型的分界就是「有沒有語言與抽象能力」,只要看到嬰兒或插管病童,答案必落在行為量表。可連結概念:疼痛第五生命徵象、術後多模式止痛、新生兒疼痛長期影響。",[24,27,29,31,33],{"term":25,"count":26},"FLACC 行為疼痛量表",1,{"term":28,"count":26},"疼痛評估工具年齡適用性",{"term":30,"count":26},"自述型疼痛量表限制",{"term":32,"count":26},"臉譜量表",{"term":34,"count":26},"視覺類比量表",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-034","黃太太產後到嬰兒室探視因病理性黃疸接受照光治療的黃小弟，下列敘述何者正確？",34,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-106-1-maternal-pediatric-080","小玲，1 歲，診斷為單純性熱性痙攣（simple febrile convulsion），小玲的媽媽詢問護理師：「小玲未來是否會再發作？」有關護理師的回答，下列敘述何者較適當？",80,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-maternal-pediatric-014","下列何者為宮縮時胎心率加速之臨床意義？",14,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-maternal-pediatric-052","有關自閉症的護理指導，下列何者最適當？",52,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-016","有關胎心率的監測，下列敘述何者錯誤？",16,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-050","下列那個年齡層兒童，其繪畫發展已能充分表現創造性、具有平面及空間概念畫法？",50,110,"2026-08-06",1787299007268]