[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-079","nurse-106-1-maternal-pediatric-079",106,1,79,"張小弟，罹患腦性麻痺，有咀嚼及吞嚥困難問題，有關幫助其吞嚥的護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"頭部維持後仰位置","食物置於舌頭後方","肩膀稍微向後傾斜","保持雙腳自然下垂","B",null,[],"本題考點為腦性麻痺合併吞嚥困難的餵食護理。依吞嚥安全原則,將食物置於舌頭後方可利用較完整的吞嚥反射引發吞嚥、並減少舌頭外推反射把食物頂出,故B正確。A頭部後仰會使呼吸道開放、食物易直接滑入氣管導致嗆咳吸入,應改為下巴微收;C肩膀向後傾斜與D雙腳自然下垂皆使軀幹不穩、姿勢控制差。正確做法是身體直立稍前傾、髖膝屈曲並讓雙腳有支撐以穩定姿勢利於吞嚥。腦性麻痺常有異常肌張力與原始反射,餵食擺位不當會增加吸入風險。","腦性麻痺餵食擺位原則:直立坐姿、頭頸中線、下巴微收(chin tuck)以保護氣道,軀幹稍前傾並提供髖膝踝穩定支撐,減少角弓反張與伸張反射。食物質地選稠而一致、避免稀薄液體以防嗆咳,以碗湯匙將食物放於舌中後段刺激吞嚥並抑制舌外推。頭後仰是最危險擺位。目標是安全進食、足夠營養與避免吸入性肺炎。",[24,27,30,32],{"term":25,"count":26},"腦性麻痺",6,{"term":28,"count":29},"吞嚥困難",2,{"term":31,"count":10},"下巴微收",{"term":33,"count":10},"餵食擺位",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-107-1-maternal-pediatric-016","有關產婦第二產程之護理措施，下列何者正確？",16,107,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-107-2-maternal-pediatric-030","有關新生兒神經成熟度評估之描述，下列何者是早產兒的特徵？",30,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-maternal-pediatric-068","有關扁桃腺切除術（tonsillectomy）後的護理措施，下列敘述何者錯誤？",68,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-032","陳女士妊娠 30 週，因有早產預兆而入院安胎，依醫囑使用 Ritodrine（Yutopar）靜脈點滴注射。有關此藥物的副作用，下列何者錯誤？",32,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-066","有關兒童心導管檢查的各腔室含氧飽和度，下列敘述何者異常？",66,111,"2026-09-04",1788510694498]