[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-108-1-產兒科護理學-072","nurse-108-1-maternal-pediatric-072",108,1,72,"王小弟，5 歲，因心臟病需進行胸骨切開式開心手術。有關傷口換藥的術前心理準備，下列護理措施何者合適？",{"A":14,"B":15,"C":16,"D":17},"王小弟年紀還小，不需先提供傷口訊息","提供真實的傷口換藥影片給王小弟看","告訴王小弟傷口不會疼痛、不用害怕","用布偶示範傷口換藥的方式","D",null,[],"本題考點在學齡前兒童（5 歲）的術前心理準備。此期以具體、遊戲式思考理解世界，運用布偶示範傷口換藥過程，能以具象方式讓孩童預期並演練，降低陌生與恐懼，故選 D。選項 A 錯在幼兒仍需依其理解程度提供術前訊息，完全不告知反而加重焦慮與失控感。選項 B 錯在提供真實的傷口換藥影片過於寫實驚悚，超出幼兒承受度，易造成創傷性恐懼。選項 C 錯在承諾「不會疼痛」違反誠實原則，若實際疼痛會破壞信任，應誠實說明並教導因應方式。","兒童術前準備依發展階段調整：學齡前用治療性遊戲、布偶、簡單具象語言，並在接近手術的時間點說明（時間概念未成熟，太早說反增焦慮）；學齡兒可用圖片、模型並給予較多資訊與掌控感。核心仍是「誠實、具象、符合發展」。可連結概念：治療性遊戲、醫療遊戲（medical play）、誠實原則（呼應第 057 題）、幼兒對身體傷害的恐懼（身體完整性焦慮）。",[24,27,30,32],{"term":25,"count":26},"治療性遊戲",5,{"term":28,"count":29},"誠實原則",2,{"term":31,"count":10},"學齡前術前準備",{"term":33,"count":10},"布偶示範",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-073","阿明，1 歲，因罹患急性淋巴性白血症正接受誘導期化學治療。因發燒而追蹤抽血檢查，白血球 100\u002Fmm 3 ，血色素 7.6 g\u002FdL，血小板為 10000\u002Fmm 3 ，下列護理措施何者正確？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-maternal-pediatric-009","王女士懷孕 38 週，胎位為左枕前位（LOA），胎心音的測量最合宜的部位為？",9,109,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-109-2-maternal-pediatric-023","劉女士剖腹產後因身體不適，且寶寶黃疸需住院照光治療而無法一同出院，她覺得自己不是好媽媽。下列何項措施對其親子依附關係的建立較不適當？",23,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-2-maternal-pediatric-061","有關氣喘病童使用吸入型氣喘藥物，下列敘述何者錯誤？",61,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-025","王女士，28 歲第一胎，產後 2 個月，月經尚未來，採純母乳哺餵。下列何項避孕措施最不推薦？",25,112,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-113-1-maternal-pediatric-009","有關分娩期預防產後出血的措施，下列何者不適當？",113,"2026-09-04",1788510710830]