[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-073":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-106-1-產兒科護理學-073","nurse-106-1-maternal-pediatric-073",106,1,73,"王小弟，9 歲，將進行腸道手術前的清潔灌腸（cleansing enema），下列護理技術之執行，何者正確？",{"A":14,"B":15,"C":16,"D":17},"準備蒸餾水 600 mL，溶液溫度為 40～43℃","協助兒童安靜平躺床上後，採右側臥、屈曲雙膝姿勢","將灌腸筒掛於點滴架上，使液面與兒童肛門距離 45～60 公分","請兒童張口深呼吸，潤滑 14 Fr.肛管後，推入兒童肛門內 7.5 公分","D",null,[],"本題考點為兒童清潔灌腸的正確技術。依灌腸操作原則,插管前請兒童張口深呼吸以放鬆肛門括約肌,潤滑肛管後緩慢插入,學齡兒插入深度約7.5公分,故D正確。A錯:灌腸溶液應用生理食鹽水而非蒸餾水,蒸餾水為低張液大量灌入會致水中毒,且40至43℃偏高易灼傷黏膜。B錯:為順乙狀結腸與降結腸走向應採左側臥,而非右側臥。C錯:灌腸筒液面與肛門距離過高會使壓力與流速過大,兒童應較低,45至60公分過高。","灌腸靠重力與溶液刺激腸蠕動,體位取左側臥屈膝順著乙狀結腸解剖使溶液順利進入。溶液溫度約37.7至40.5℃(近體溫)以免刺激或灼傷;溶液選等張生理食鹽水或肥皂水,忌純水以防水中毒(尤其嬰幼兒)。插入深度與掛桶高度依年齡調整,兒童宜低、宜淺、宜慢,插管配合深呼吸放鬆括約肌以減少不適與損傷。",[24,27,29,31],{"term":25,"count":26},"左側臥",7,{"term":28,"count":10},"清潔灌腸",{"term":30,"count":10},"等張溶液",{"term":32,"count":10},"插入深度",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-074","小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",74,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-maternal-pediatric-010","有關生產過程中子宮肌肉活動的敘述，下列何者錯誤？",10,107,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-107-2-maternal-pediatric-024","有關產後性行為（sexual intercourse）的護理指導，下列敘述何者最適當？",24,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-108-2-maternal-pediatric-062","彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",62,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-026","承上題，此時護理師需優先注意的現象為何？",26,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-060","小雄，9 歲，因抽搐發作住院接受檢查，當護理師以腦波檢查的相關圖片及故事，解說檢查的流程及相關注意事項並澄清小雄的錯誤觀念時，此為下列何種治療性遊戲？",60,111,"2026-09-04",1788510694414]