[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-109-1-產兒科護理學-045","nurse-109-1-maternal-pediatric-045",109,1,45,"李小妹，8 歲，因敗血病住進加護病房，很在意父母親是否準時到病房探視，不斷詢問護理師探病時間。李小妹的行為屬於下列何種情況？",{"A":14,"B":15,"C":16,"D":17},"學習認識時間概念","自我中心","分離焦慮","在意身體心像","C",null,[],"本題考點在於學齡期住院兒童對親子分離的心理反應辨識,重點在於辨識分離焦慮:8歲的李小妹反覆詢問探病時間、在意父母是否準時到病房,顯示其對與主要照顧者分離的擔憂與不安,屬住院兒童常見的分離焦慮反應,故選C。A學習時間概念是認知發展層面,無法解釋其焦躁在意探視的情緒本質。B自我中心是幼兒前運思期的思考特徵,與此在意父母到訪的依附焦慮不同。D在意身體心像多見於青春期或涉及外觀、身體完整性受威脅的情境,與本題探視關切不符。因此正解為C分離焦慮。","分離焦慮雖以幼兒最典型(抗議、絕望、疏離三階段),但學齡兒童住院時仍會出現,常以「反覆確認父母何時來、擔心被留下」等較隱微方式呈現,而非幼兒的哭鬧。加護病房環境陌生、探視受限更會加重。護理支持方向為維持親子連結、鼓勵父母參與照護、提供可預期的探視資訊以降低不確定感。記憶對比:分離焦慮=怕與依附對象分開;身體心像困擾=怕身體被改變。可連結各年齡對住院與死亡的認知反應一併複習。",[24,26,29,31],{"term":16,"count":25},13,{"term":27,"count":28},"親子依附",8,{"term":30,"count":10},"學齡期住院反應",{"term":32,"count":10},"加護病房探視限制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-046","下列何者不是瀕死兒童的生理變化？",46,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-maternal-pediatric-062","林小妹 6 歲，因反覆性氣喘發作入院，現病情已漸趨穩定欲出院，有關出院的居家照顧，下列敘述何者正確？",62,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-maternal-pediatric-076","有關病童罹患膀胱輸尿管逆流（Vesicoureteral Reflux; VUR）的初期臨床表徵，下列敘述何者正確？",76,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-maternal-pediatric-034","王女士，G 1 P 0 ，過去產檢皆正常，於妊娠 32 週產檢時主訴胎動有減少情形，感到很擔心，此時何項處置最適當？",34,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-maternal-pediatric-078","兒童罹患雷氏症候群（Reye’s Syndrome）常會有複雜性合併症產生，有關其病因和症狀，下列敘述何者正確？",78,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-maternal-pediatric-042","有關預防腫瘤溶解症候群（tumor lysis syndrome）所進行的相關處置，下列敘述何者錯誤？",42,113,3,"2026-09-04",1788510713508]