[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-052":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-107-2-產兒科護理學-052","nurse-107-2-maternal-pediatric-052",107,2,52,"幼年型類風濕性關節炎兒童的護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估身體外觀有無異常出血點、關節皮膚冰冷蒼白情形","清晨易有關節僵硬疼痛，可以熱敷及止痛藥減輕不適","宜鼓勵多臥床休息，以改善肌無力、預防關節攣縮情形","類固醇及免疫抑制劑為最常用的長期治療藥物","B",null,[],"本題考點在幼年型類風濕性關節炎(JIA)的護理措施。此病典型為晨間關節僵硬,可用溫熱敷放鬆關節、配合止痛藥減輕不適並利活動,故 B 正確。A 錯誤,異常出血點與皮膚冰冷蒼白屬血液或循環問題,非本病重點評估;C 錯誤,過度臥床反而加重關節僵硬與攣縮,應在耐受下鼓勵適度活動與關節運動以維持功能;D 錯誤,長期治療首選為非類固醇抗發炎藥(NSAID),類固醇與免疫抑制劑非最常規的長期用藥。故正確者為 B。","JIA 為 16 歲前起病、持續 6 週以上的慢性關節發炎,晨僵是滑膜炎特徵,活動後可緩解。護理核心在維持關節功能與預防攣縮:晨起溫熱敷或泡溫水、日間規律關節活動與適度運動、副木維持功能位。藥物階梯:NSAID→改善病情抗風濕藥(methotrexate)→生物製劑,類固醇多短期或局部使用。關鍵:動勝於不動,過度臥床會使關節僵硬惡化。",[24,27,29,31],{"term":25,"count":26},"幼年型類風濕性關節炎",1,{"term":28,"count":26},"晨間關節僵硬",{"term":30,"count":26},"溫熱敷與適度活動",{"term":32,"count":26},"NSAID 為首選",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-053","在嬰幼兒期自閉症的症狀表現，易與下列何種障礙混淆？",53,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-069","張小弟，5 個月大，至健兒門診接受預防注射，下列何種預防注射疫苗適合張小弟注射？",69,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-maternal-pediatric-003","孕婦對懷孕產生負向感覺，並隨著妊娠進展會擔心胎兒是否斷手斷腳或是有缺陷，此為那一孕期最常見的心理反應？",3,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-maternal-pediatric-041","依據「兒童及少年福利與權益保障法」第 53 條，當護理師知悉兒童非法施用毒品或管制藥品、遭受虐待或其他傷害，至遲不得超過幾小時，應立即向主管機關通報？",41,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-005","李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",5,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-039","有關多囊性卵巢疾病的表徵，下列何者錯誤？",39,112,"2026-09-04",1788510726141]