[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-051":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-051","nurse-106-2-maternal-pediatric-051",106,2,51,"嬰幼兒疼痛評估，不包括下列那一項？",{"A":14,"B":15,"C":16,"D":17},"臉部表情","呼吸型態","肢體動作","意識程度","D",null,[],"本題考點在嬰幼兒疼痛評估的觀察指標。嬰幼兒無法言語表達疼痛,臨床以行為與生理指標評估,常用 FLACC 量表(臉部、腿部、活動、哭泣、可安撫性)及 NIPS,核心是臉部表情、肢體動作與生命徵象變化。故 A 臉部表情、C 肢體動作、B 呼吸型態(屬生理指標)都是評估項目。D 意識程度屬神經學評估(如 GCS),用於評估腦部功能,並非疼痛量表的行為指標,故不包括,選 D。疼痛會使嬰幼兒哭鬧躁動,但不以意識清醒程度作為疼痛量化依據。","常用嬰幼兒疼痛量表:FLACC(2 個月至 7 歲)、NIPS(新生兒)、CRIES(術後新生兒,含哭泣 Crying、需氧 Requires O₂、生命徵象 Increased vital signs、表情 Expression、失眠 Sleepless)。共通邏輯是把主觀疼痛轉為可觀察的客觀行為與生理反應。記憶對比:意識程度(LOC)屬神經功能評估,回答的是『清不清醒』;疼痛評估回答的是『痛不痛』,兩者不同軸向。臉部表情是各量表最敏感的單一指標。",[24,26,29,31],{"term":25,"count":10},"FLACC 疼痛量表",{"term":27,"count":28},"NIPS 新生兒疼痛量表",1,{"term":30,"count":28},"嬰幼兒行為性疼痛指標",{"term":32,"count":28},"意識程度評估(GCS)",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-052","小維，自然產出生的足月兒。出生後的第二天，小維媽媽親餵母乳時發現小維皮膚呈現深黃色，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 12 mg\u002FdL。護理師初步的護理評估及判斷為何？",52,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-maternal-pediatric-068","有關兒童會厭炎（epiglottitis）的敘述，下列何者錯誤？",68,107,{"webId":44,"stem":45,"number":10,"year":46,"session":28},"nurse-108-1-maternal-pediatric-002","有關衛生福利部推動的母嬰親善醫院十大措施，下列何者錯誤？",108,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-maternal-pediatric-040","有關更年期的賀爾蒙變化，下列何者正確？",40,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-maternal-pediatric-004","懷孕期間由於生理機能改變，使得藥物在孕婦體內的吸收、分布、代謝與排泄均有改變，下列敘述何者正確？",4,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-038","有關精液檢查的敘述，下列何者錯誤？",38,111,"2026-09-04",1788510699549]