[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-063":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-107-2-產兒科護理學-063","nurse-107-2-maternal-pediatric-063",107,2,63,"有關罹患先天性梅毒的嬰兒皮膚丘疹及脫屑的護理措施，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"接觸個案時需穿著隔離衣及戴手套","鼓勵家人探視，但避免觸摸或擁抱","皮膚丘疹及脫屑部位可予以嬰兒油塗敷","評估是否有皮膚丘疹造成的不適或乾燥","B",null,[],"本題考點在於辨識傳染性皮膚病灶下「隔離防護」與「情感依附」如何兼顧。先天性梅毒早期皮膚病灶含大量螺旋體具傳染力,接觸須穿隔離衣戴手套(A 適當);但只要家人做好防護即可觸摸與擁抱以滿足嬰兒依附需求,一味「避免觸摸或擁抱」反而剝奪情感連結,故 B 為不適當,即為答案。C 皮膚丘疹脫屑部位以嬰兒油塗敷可保濕、減少乾裂適當。D 評估丘疹造成的不適或乾燥,屬合理的皮膚照護評估。","先天性梅毒(congenital syphilis)由 Treponema pallidum 經胎盤垂直感染,早期表現含皮膚黏膜病灶、鼻炎(snuffles)、肝脾腫大、假性麻痺;分泌物與病灶具傳染性,採接觸隔離。護理設計重點:防護措施的目的是阻斷傳染途徑而非隔絕親情,穿戴防護後的擁抱仍應被鼓勵,呼應嬰兒期依附理論。",[24,27,30,32],{"term":25,"count":26},"先天性梅毒",3,{"term":28,"count":29},"接觸隔離防護",1,{"term":31,"count":29},"嬰兒依附需求",{"term":33,"count":29},"皮膚保濕照護",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-064","小鳴，6 個月大，腋下、鼠蹊、頸部長出膿皰後結痂脫屑，求醫確診為膿皰病，下列處置何者不適當？",64,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-080","張小妹，4 個月大，被診斷水腦（Hydrocephalus），接受腦室腹膜分流（V-P shunt）手術，有關手術後護理措施，下列何者錯誤？",80,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-maternal-pediatric-014","李女士每 1 分鐘子宮收縮一次，每次持續 50 秒，子宮頸口全開，變薄程度 100%，胎兒先露部位高度為＋2，有強烈想用力的感覺。當子宮收縮時，下列的護理指導何者最恰當？",14,109,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-1-maternal-pediatric-052","有關意識不清的嬰幼兒期病童疼痛評估，下列何者最適當？",52,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-maternal-pediatric-016","王女士，G 1 P 0 ，子宮頸口開 10 公分，待產時宮縮疼痛，下列措施何者最適當？",16,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-maternal-pediatric-050","小偉，2 歲，入住加護病房的第二天早晨哭喊著要媽媽，拒絕護理師的安撫，且出現身體攻擊行為。此行為屬於分離焦慮的那一期？",50,112,"2026-09-04",1788510726278]