[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-055":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":26},"nurse-109-1-產兒科護理學-055","nurse-109-1-maternal-pediatric-055",109,1,55,"小美，3 歲，因重積癲癇而入住加護病房照護，下列何者不是以家庭為中心的照護？",{"A":14,"B":15,"C":16,"D":17},"評估小美個別需求，提供父母彈性的探訪時間","在父母有意願的情況下，讓其參與小美侵入性治療及檢查過程","由於治療的複雜性，應避免父母參與治療計畫與決策","專業醫護人員隨時跟小美的父母分享資訊，包含相關的科學新知","C",null,[],"本題考點在於辨識「以家庭為中心照護」（family-centered care）的核心原則。此模式的四大要素為尊重與尊嚴、資訊分享、參與、合作，強調視家庭為照護夥伴。依此原則，C 以「治療複雜」為由排除父母參與治療計畫與決策，正好違反參與和合作精神，故為答案（不屬於家庭中心照護）。A 依個別需求提供彈性探訪，體現尊重與彈性。B 在父母有意願時讓其參與侵入性治療與檢查，符合參與原則並能給予病童安全感。D 醫護持續與父母分享資訊與新知，正是資訊分享要素。三者皆符合家庭中心照護，唯 C 剝奪了家庭的決策參與權。","家庭中心照護與傳統「以醫療為中心」最大差異，在於把家庭從被動接受者轉為主動夥伴。核心四要素可記為「尊重、資訊、參與、合作」。兒科尤其重要，因父母是病童最穩定的依附對象，參與能降低分離焦慮並提升治療配合度。凡選項出現「因專業考量而排除父母」，多半就是違反此模式的誘答項。",[24,27,30],{"term":25,"count":26},"以家庭為中心照護",16,{"term":28,"count":29},"親子依附",8,{"term":31,"count":10},"尊重\u002F資訊分享\u002F參與\u002F合作四要素",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-056","小銘，2 歲，罹患典型的異戊酸血症（Isovaleric Acidemia），下列敘述何者正確？",56,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-072","小曄 3 個月大，因為唇裂（cleft lip）而入院，經醫師進行唇裂修補術後返回病室，有關手術後護理，下列敘述何者錯誤？",72,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-110-2-maternal-pediatric-006","有關妊娠期會陰按摩，下列敘述何者正確？",6,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-044","小奇，2 個月大，在吃奶時，突然沒有呼吸、心跳，且嘴唇發紫，保母立即施以心肺復甦術，下列步驟何者錯誤？",44,111,{"webId":53,"stem":54,"number":29,"year":55,"session":56},"nurse-112-3-maternal-pediatric-008","丁女士，G 1 P 0 ，妊娠 39 週，常規產檢結果正常。丁女士表示：「最近肚子有下降了，呼吸也更輕鬆了」。預期丁女士伴隨發生的症狀，下列何者可能性最低？",112,3,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-114-1-maternal-pediatric-002","護理師為妊娠32週的趙女士進行腹部四段式觸診，下列敘述何者最適當？",114,"2026-09-04",1788510713649]