[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-產兒科護理學-046","nurse-106-2-maternal-pediatric-046",106,2,46,"小傑，9 歲，罹患先天性心室中膈缺損（VSD），此次利用暑假期間安排到醫院做心導管檢查，檢查後下列何項是小傑最大的壓力源？",{"A":14,"B":15,"C":16,"D":17},"擔心暑假作業寫不完","擔心不能跟朋友一起玩","擔心身體受傷及疼痛","擔心禁食及身體活動受限","C",null,[],"本題考點為學齡期兒童住院與侵入性檢查的主要壓力源。依發展特徵,學齡期(6～12歲)兒童最擔憂身體受傷、疼痛與身體完整性受威脅,故心導管檢查後小傑最大壓力源為「擔心身體受傷及疼痛」,選C。A暑假作業、B不能與朋友玩、D禁食與活動受限雖也造成困擾,但相較於對身體傷害與疼痛的恐懼,並非此期最主要壓力源。判準為學齡期對「身體傷害與失去身體控制」的恐懼最突出。","各期住院壓力源:嬰兒為分離焦慮;幼兒為分離焦慮與失去自主;學齡前害怕身體傷害、閹割焦慮與魔幻思考(把生病當處罰);學齡期害怕身體傷害、疼痛、失去控制與同儕隔離;青少年著重身體形象、獨立與同儕。護理以誠實說明、給予控制感因應。口訣:學齡怕痛怕受傷。",[24,26,28,30],{"term":25,"count":10},"學齡期發展",{"term":27,"count":10},"身體傷害恐懼",{"term":29,"count":10},"身體完整性",{"term":31,"count":32},"住院壓力源",1,[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-107-1-maternal-pediatric-063","有關罹患甲基丙二酸血症（Methylmalonic Acidemia）的患童，下列敘述何者錯誤？",63,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-maternal-pediatric-077","王小弟，診斷為急性腎衰竭（acute renal failure），下列敘述何者正確？",77,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-109-1-maternal-pediatric-035","有關萎縮性陰道炎之敘述，下列何者錯誤？",35,109,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-110-1-maternal-pediatric-079","張小弟，5 個月，因水腦症入院，為預防顱內壓升高，下列護理措施何者不適當？",79,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-033","臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",33,111,"2026-09-04",1788510699498]