[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-108-1-產兒科護理學-079","nurse-108-1-maternal-pediatric-079",108,1,79,"協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"協助病童坐起、身體維持正中位置","使病童肩膀前屈、膝蓋放鬆低於大腿","食物位置高於嘴巴，將食物放於舌頭前方","選擇適當輔具，完全由照顧者餵食","A",null,[],"本題考點在腦性麻痺吞嚥困難兒童的安全進食擺位。協助病童坐起、身體維持正中對稱位置，可穩定軀幹、利於頭頸控制與安全吞嚥，減少嗆咳與吸入，故選 A。選項 B 錯在進食擺位應使髖與膝適度屈曲、雙腳有支撐，而非膝蓋放鬆低於大腿的不穩定姿勢。選項 C 錯在食物應置於嘴部同高或稍低、放於舌頭中後段以利吞嚥，食物高於嘴巴、放舌前方易誘發不良反射並增加嗆咳。選項 D 錯在應在安全前提下鼓勵病童以輔具自我進食，促進功能與自主，而非完全由照顧者餵食。","腦性麻痺常伴口腔動作與吞嚥協調障礙及異常反射（如強直性咬合、伸舌反射）。安全進食原則「軀幹正中、頭頸中線微前傾、髖膝屈曲、腳有支撐」——此穩定姿勢利於吞嚥並降低吸入。餵食速度放慢、質地調整、由舌中後給食可減少嗆咳。同時保留自主進食以維持發展與尊嚴。可連結概念：吸入性肺炎預防、口腔動作控制、擺位與正常化張力、輔助器具使用。",[24,26,28,30],{"term":25,"count":10},"腦性麻痺進食",{"term":27,"count":10},"軀幹正中擺位",{"term":29,"count":10},"吞嚥困難與吸入預防",{"term":31,"count":10},"自我進食促進",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"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,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-maternal-pediatric-016","李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",16,109,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-109-2-maternal-pediatric-030","下列何種胎產式之胎頭徑線最短，較能順利分娩？",30,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-110-2-maternal-pediatric-068","有關鐮狀細胞貧血的敘述，下列何者錯誤？",68,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-032","有關胎盤碎片殘留所致產後出血的敘述，下列何者正確？",32,112,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-113-1-maternal-pediatric-016","婦女產後痛（after pain）主要是評估下列那一個器官或組織之健康問題？",113,"2026-09-04",1788510710892]