[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-107-2-產兒科護理學-048","nurse-107-2-maternal-pediatric-048",107,2,48,"協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"評估病童及家屬對診斷治療及預後的了解程度","教導病童及家屬評估病童的神經功能、腦壓上升及感染之徵象","教導家屬評估病童在生長發展技能上的情形","避免讓病童知道疾病情況，以免焦慮與緊張","D",null,[],"本題考點在協助腦瘤病童家庭正向因應的護理原則,核心為誠實告知與參與照護。刻意隱瞞病情反而使病童因察覺異狀卻無法理解而更焦慮、破壞信任,故 D「避免讓病童知道疾病情況」較不適當。A 正確,先評估病童與家屬對診斷、治療與預後的理解,可作為衛教起點;B 正確,教導辨識神經功能、顱內壓上升與感染徵象有助及早就醫;C 正確,教導評估生長發展技能可及早發現遲緩並介入。故較不適當者為 D。","兒童對疾病有其發展階段的理解力,依年齡以誠實、適齡的語言說明,反能降低想像性恐懼並增進配合。正向因應照護要點:提供資訊、鼓勵表達情緒、維持常規與掌控感、連結支持資源。顱內壓上升徵象要熟記:嬰兒囟門膨出、頭圍增大、日落眼;較大兒童頭痛(晨起或用力後加劇)、噴射狀嘔吐、意識改變、血壓升脈搏慢(Cushing 三徵)。",[24,26,29,31],{"term":25,"count":10},"顱內壓上升徵象",{"term":27,"count":28},"腦瘤病童家庭因應",1,{"term":30,"count":28},"誠實適齡告知",{"term":32,"count":28},"維持掌控感",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-049","婷婷，9 個月大，體重 9 公斤，母親主訴最近一天解水便數次，現體重為 8 公斤，此屬於下列何種情況？",49,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-maternal-pediatric-065","有關囊性纖維變性（Cystic Fibrosis）之敘述，下列何者錯誤？",65,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-079","王小弟，8 歲，罹患細菌性腦膜炎（bacterial meningitis），下列徵象何者正確？",79,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-110-1-maternal-pediatric-037","有關經前症候群的護理措施，下列敘述何者最適當？",37,110,{"webId":53,"stem":54,"number":28,"year":55,"session":10},"nurse-111-2-maternal-pediatric-001","有關懷孕期正常內分泌變化的敘述，下列何者正確？",111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-maternal-pediatric-035","承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",35,112,"2026-09-04",1788510726104]