[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-075":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-106-2-產兒科護理學-075","nurse-106-2-maternal-pediatric-075",106,2,75,"有關先天性的氣管食道瘻管（Tracheoesophageal fistula）嬰兒，進行瘻管關閉及食道吻合術後之照護重點，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需將嬰兒頭部抬高 45～60 度，以避免胃容物逆流","使用安撫奶嘴，以免嬰兒哭泣造成胃腸壓力上升","若鼻胃管滑脫應立即重新放置，以免胃液損及傷口","抽吸管的長度不可超越傷口吻合處，避免吻合部位受傷","C",null,[],"本題考點在氣管食道瘻管(TEF)修補術後照護,採反向題。術後照護重點是保護食道吻合處:抬高頭部 45–60 度防胃容物逆流(A 正確)、用安撫奶嘴滿足非營養性吸吮並減少哭泣致腹壓上升(B 正確)、抽吸管長度不可超過吻合處以免傷及縫合口(D 正確)。C『鼻胃管滑脫應立即重新放置』錯誤——術後鼻胃管若滑脫,不可自行盲目重插,以免管子誤觸或戳傷剛吻合的脆弱食道縫合處,應通報醫師由專業處理,故選 C。核心在保護吻合處、避免盲插器械傷及縫合。","先天性食道閉鎖常合併氣管食道瘻管(TEF),新生兒表現:大量口水泡沫、餵食嗆咳發紺(『3C:choking、coughing、cyanosis』)。修補術後保護吻合口是核心:抬高床頭防逆流、抽吸限制深度(標記安全長度)、避免頸部過度伸展張力、鼻胃管由手術者置放且滑脫勿自行重插。記憶:『食道剛接好,別亂插管、抽吸不過線、抬頭防逆流』。餵食通常延後至吻合處癒合確認後(常經食道攝影評估)。",[24,27,29,31],{"term":25,"count":26},"氣管食道瘻管(TEF)",1,{"term":28,"count":26},"食道吻合術後照護",{"term":30,"count":26},"保護吻合處(勿盲插鼻胃管)",{"term":32,"count":26},"抽吸深度限制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-076","有關輪狀病毒（rotavirus）感染引起的兒童急性腸胃炎，下列敘述何者正確？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",12,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-026","產婦分娩結束其生理變化回復至懷孕前狀態的期間，稱為什麼時期？",26,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-028","聽診新生兒心跳速率的部位，下列何者正確？",28,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-062","有關罹患呼吸系統疾病兒童接受胸腔物理治療之敘述，下列何者最適當？",62,111,"2026-09-04",1788510699797]