[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-041":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-109-1-產兒科護理學-041","nurse-109-1-maternal-pediatric-041",109,1,41,"下列何種中毒情況適合為兒童進行催吐？",{"A":14,"B":15,"C":16,"D":17},"小於 6 個月嬰兒口服藥物中毒","3 歲幼兒誤食杜鵑花葉導致昏迷","4 歲兒童誤食有毒磨菇","5 歲兒童誤食廚房清潔劑","C",null,[],"本題考點在於兒童中毒是否適合催吐,重點在於辨識催吐禁忌:昏迷或意識不清、腐蝕性物質(強酸強鹼、清潔劑)、石油產品、以及小於6個月嬰兒皆「禁止」催吐,以免吸入性肺炎或二次灼傷。選項中C「4歲兒童誤食有毒磨菇」患者意識清楚、且磨菇非腐蝕性\u002F非石油類,屬適合催吐移除毒物者,故選C。A小於6個月嬰兒因吞嚥反射未成熟,禁催吐。B誤食導致「昏迷」者因喪失呼吸道保護反射,禁催吐以免吸入。D廚房清潔劑屬腐蝕性物質,催吐會使食道二次灼傷,禁忌。因此適合催吐者為C。","催吐(或洗胃)禁忌口訣可記為「腐蝕、石油、意識、抽搐、太小」:強酸強鹼與清潔劑會二次灼傷、石油產品易嗆入致化學性肺炎、意識不清或抽搐者失去呼吸道保護、6個月以下嬰兒反射未成熟。現行中毒處置多以活性碳吸附、支持療法與毒物中心諮詢為主,催吐已趨保守。辨析重點:非腐蝕、非揮發、意識清楚且具吞嚥保護者,才是可考慮移除毒物的情境。可連結活性碳適應症、特定解毒劑等概念延伸複習。",[24,27,29,31],{"term":25,"count":26},"催吐禁忌",3,{"term":28,"count":10},"腐蝕性物質清潔劑",{"term":30,"count":10},"意識不清失去呼吸道保護",{"term":32,"count":10},"6個月以下嬰兒",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-042","依據丹佛 II 嬰幼兒發展篩檢測驗（DDST-II）評估來健兒門診的王小妹，她能自己扣鈕釦、用手指夾葡萄乾、單腳站立 5 秒鐘，王小妹大約是幾歲？",42,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-maternal-pediatric-058","有關嬰兒玫瑰疹的敘述，下列何者正確？",58,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-maternal-pediatric-072","有關早產兒呼吸窘迫症候群的護理措施，下列敘述何者正確？",72,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-maternal-pediatric-030","下列何項不是新生兒於睡眠活動週期中「安靜清醒期」（quiet alert state）的行為表徵？",30,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-maternal-pediatric-074","王小弟，6 歲，因下腹部疼痛、噁心、嘔吐等現象到急診室求治，懷疑闌尾炎，有關闌尾炎的評估，下列何者最適當？",74,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-maternal-pediatric-038","有關病童接受氧氣治療的照護措施，下列敘述何者最適當？",38,113,"2026-09-04",1788510713456]