[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-107-1-產兒科護理學-077","nurse-107-1-maternal-pediatric-077",107,1,77,"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？",{"A":14,"B":15,"C":16,"D":17},"出現不停的吞嚥動作，應評估傷口處是否出血","採俯臥姿勢，利分泌物流出，避免吸入性肺炎","啼哭時，以奶嘴安撫，避免縫合處裂開","拆除縫線前應禁食，避免傷口感染","A",null,[],"本題考點在於唇裂與腭裂修補術後的傷口保護與觀察重點。依術後出血觀察原則，嬰兒吞入的血液會刺激反覆吞嚥動作，故出現不停吞嚥時應警覺並評估縫合處是否出血，A 為正確敘述，選 A。B 錯：術後應採仰臥或側臥，避免俯臥，因俯臥會使臉部傷口摩擦床面、增加裂開與感染風險。C 錯：啼哭會增加傷口張力，但安撫不可用奶嘴或吸管等碰觸縫合處的物品，應以擁抱、事先滿足需求來減少哭鬧。D 錯：術後不需長時間禁食，仍須以滴管或湯匙等避開傷口的方式餵食以維持營養、促進癒合。","唇腭裂術後護理的兩大主軸是「保護縫線」與「維持氣道與營養」，所有選項都可回到這兩點檢驗。保護縫線：避免俯臥摩擦、避免哭鬧拉扯、避免奶嘴湯匙硬物直接觸碰傷口，常使用手肘固定器（elbow restraint）防止嬰兒抓抓，並在餵食後清潔縫線。觀察出血：因傷口滲血會被吞下，臨床以「頻繁吞嚥、躁動、心跳加快」作為早期內出血指標，比直接看到滲血更靈敏，這也是 A 成為正解的道理。餵食則採改良奶嘴、滴管或湯匙沿口角餵入，兼顧癒合與熱量需求。記憶點：術後「不趴、不哭、不碰傷口、但要吃」。",[24,26,28,30],{"term":25,"count":10},"唇裂腭裂術後護理",{"term":27,"count":10},"吞嚥與出血觀察",{"term":29,"count":10},"俯臥禁忌",{"term":31,"count":10},"傷口張力保護",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-078","張小妹，9 個月大，體重原為 9 公斤，因腹瀉入院治療。臨床表徵，體重現為 8.3 公斤、囟門凹陷、皮膚及黏膜乾燥、脈搏增加、少尿，有關脫水程度之評估，下列何者正確？",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-014","胡女士子宮頸口全開，護理師協助產婦躺上產檯並準備生產，下列護理措施何者不合適？",14,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-028","護理師執行產後新生兒立即性護理時，發現劉小弟頭頂部有一局部軟組織腫脹，觸診組織鬆軟且外緣界線不清楚，下列敘述何者正確？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-066","有關體染色體隱性遺傳之疾病，下列何者錯誤？",66,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-030","子癇前症孕婦以硫酸鎂（MgSO 4 ）治療期間的護理評估重點，下列何者最重要？",30,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-064","母親懷孕早期感染下列何種疾病，易導致新生兒罹患先天性心臟病？",64,112,"2026-09-04",1788510703980]