[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-106-2-產兒科護理學-060","nurse-106-2-maternal-pediatric-060",106,2,60,"小明，3 歲，發燒 38.5℃，哭鬧不安，胃口不好，活動力差，至小兒急診求治，診斷為急性鼻咽炎，有關小明的照護措施，何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病童多喝水或果汁及臥床休息","鼻塞引起的呼吸費力是正常現象，請父母不必擔心","教導父母注意室內環境的通風，避免飛沫傳染","教導兒童少用手摸鼻子、嘴巴、眼睛，以降低感染風險","B",null,[],"本題考點在急性鼻咽炎(普通感冒)幼兒的照護適當性判斷。嬰幼兒鼻道狹窄,鼻塞會明顯影響呼吸與進食,護理應積極處理(如清潔鼻腔、生理食鹽水滴鼻、抬高床頭),而非告知家屬『鼻塞費力是正常、不必擔心』而消極忽略,此指導不當,選 B。A 適當:多補充水分與休息有助黏液稀釋與復原。C 適當:注意通風、避免飛沫傳染符合感染控制。D 適當:少用手觸摸口鼻眼可降低接觸傳染,是正確衛教。關鍵在鼻塞對幼兒影響大、需主動緩解,不可以『正常』搪塞而不作為。","嬰幼兒為『鼻呼吸為主(obligate nose breather,尤其 \u003C6 個月)』,鼻塞會嚴重干擾呼吸與吸吮,故處置重點是保持鼻道通暢:生理食鹽水滴鼻軟化分泌物後抽吸、餵食前先清鼻、抬高床頭。急性鼻咽炎為病毒性、支持性療法為主(退燒、補水、休息),抗生素僅用於續發細菌感染。記憶:對幼兒鼻塞不能說『正常不用管』,要主動通鼻;衛教一致原則是『積極舒緩症狀+阻斷傳染鏈』。",[24,27,30,32],{"term":25,"count":26},"支持性照護",4,{"term":28,"count":29},"急性鼻咽炎(普通感冒)",1,{"term":31,"count":29},"嬰幼兒鼻呼吸依賴",{"term":33,"count":29},"飛沫\u002F接觸傳染防範",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-061","有關兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）的臨床表徵，下列敘述何者正確？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-maternal-pediatric-077","有關唇裂（cleft lip）與腭裂（cleft palate）之手術後護理，下列敘述何者正確？",77,107,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-108-1-maternal-pediatric-011","丁女士使用催產素催生，胎兒監視器顯示胎心音早期減速，此時最合宜之措施為何？",11,108,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-109-1-maternal-pediatric-049","林小弟，13 歲，學校體檢時發現上肢血壓高，鼠蹊脈搏較上肢脈搏微弱，主訴頭痛，常常感覺腳部冰冷，林小弟可能罹患下列何種疾病？",49,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-maternal-pediatric-013","當待產婦有下列何者描述時，可判斷為真陣痛的徵象？",13,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-047","小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",47,111,"2026-09-04",1788510699661]