[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-046","nurse-109-1-maternal-pediatric-046",109,1,46,"下列何者不是瀕死兒童的生理變化？",{"A":14,"B":15,"C":16,"D":17},"出現陳施氏呼吸型態","感覺很熱，身體卻很冰冷","視力模糊，眼睛分泌物增加","聽覺減少，對疼痛的刺激敏感","D",null,[],"本題考點在於瀕死兒童的生理變化特徵。依臨終病生理,瀕死過程中聽覺通常是「最後消失」的感覺,而對疼痛與外界刺激的敏感度則逐漸「降低」,因此D敘述「聽覺減少,對疼痛的刺激敏感」與事實相反,屬非瀕死表現,故選D。A正確,循環與呼吸中樞衰竭可出現陳施氏呼吸(Cheyne-Stokes)型態。B正確,末梢循環變差、體溫調節失能,可能主觀感覺很熱但四肢冰冷、發花。C正確,肌張力下降使視力模糊、眼瞼閉合不全、眼睛分泌物增加。因此不是瀕死變化者為D。","臨終常見生理變化:循環衰竭(四肢冰冷、發紺、脈弱)、呼吸型態改變(陳施氏呼吸、瀕死喉聲)、感覺遞減(視覺先退、聽覺最後消失)、對疼痛與環境刺激反應下降、肌肉鬆弛致失禁與眼瞼閉合不全。臨床照護重點正因「聽覺最後消失」,故仍鼓勵家屬對病人輕聲說話。記憶要點:「聽覺殿後、痛覺變鈍、循環先垮」。D把痛覺說成敏感、聽覺說成減少,正好把兩者顛倒,是本題陷阱。可連結臨終關懷與家屬哀傷支持概念延伸。",[24,27,30,32],{"term":25,"count":26},"陳施氏呼吸",3,{"term":28,"count":29},"瀕死生理變化",2,{"term":31,"count":29},"末梢循環衰竭",{"term":33,"count":10},"聽覺最後消失",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-maternal-pediatric-047","下列何者不是腮腺炎的臨床典型症狀？",47,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-maternal-pediatric-063","有關罹患心臟病嬰兒的護理照護，下列何者最適當？",63,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-maternal-pediatric-077","周小弟，12 歲，因打球跌倒導致右側脛腓骨骨折，已上石膏住院治療，下列護理措施何者錯誤？",77,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-maternal-pediatric-035","有關我國後天免疫缺乏症候群母嬰的照護，下列何者錯誤？①產婦的排泄物以漂白水浸泡 1 小時後再沖入馬桶 ②新生兒出生 7 天後即給予預防性投藥 ③可以採取親子同室 ④應鼓勵餵母奶以促進親子關係",35,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-maternal-pediatric-079","小琪，5 歲，診斷為中度腦性麻痺（Cerebral Palsy），有咀嚼、吞嚥控制困難問題，有關飲食之居家照顧指導，下列敘述何者錯誤？",79,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-maternal-pediatric-043","3 歲的小萱出現發燒、臉色蒼白、腹痛，經醫師確診為神經母細胞瘤第三期，有關提供父母的護理指導，下列敘述何者不適當？",43,113,"2026-09-04",1788510713514]