[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-061":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-061","nurse-109-1-maternal-pediatric-061",109,1,61,"護理師為 6 個月大嬰兒進行肌肉注射，下列處理方式何者最適當？",{"A":14,"B":15,"C":16,"D":17},"告訴他可以哭，不可以亂動","請母親暫時離開注射環境","盡速完成治療過程，減少疼痛刺激的時間","用鼓勵的方式，答應注射後給予獎勵","C",null,[],"本題考點在於六個月嬰兒接受肌肉注射時的適當處置，須依其認知發展層次判斷。依嬰兒期認知特徵，六個月嬰兒尚無語言理解與延遲滿足能力，最恰當的做法是準備妥當後迅速完成注射，縮短疼痛刺激時間，故 C 正確。A 錯在以言語要求嬰兒「可以哭、不可亂動」，嬰兒無法理解指令。B 錯在請母親離開，此階段照顧者在場能提供安全依附、緩和不安，不應支開。D 錯在以獎勵承諾安撫，六個月嬰兒不具延遲獎勵的認知，無法理解此類約定。故最適當者為 C，快速完成以減少痛苦。","發展連結：六個月嬰兒處於感覺動作期，靠感官與照顧者的安撫（擁抱、餵食、安撫奶嘴）調節壓力，尚無語言與時間概念。給予口語約束或延遲獎勵屬於學齡前以上策略。減痛技巧可搭配非營養性吸吮、包裹、注射後由照顧者立即安撫。與學齡兒不同，嬰兒不需事前解釋，重點在快速、安全並維持依附連結。",[24,27,29,31],{"term":25,"count":26},"感覺動作期",2,{"term":28,"count":10},"嬰兒認知發展",{"term":30,"count":10},"縮短疼痛刺激時間",{"term":32,"count":10},"照顧者在場提供安全感",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-062","小群目前 3 個月大，因膽道閉鎖未治療造成肝臟硬化、脾腫大、肝昏迷，有關提供小群的家屬家庭支持，下列敘述何者不適當？",62,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-maternal-pediatric-078","有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",78,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-110-2-maternal-pediatric-012","有關待產婦呼吸技巧之敘述，下列何者錯誤？",12,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-014","婦女初次嘗試親餵母乳，向護理師表示：「我的乳頭是平的，還能親餵嗎？」，下列何項護理指導內容最適當？",14,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-008","有關吸入性麻醉藥（inhalation anesthesia），下列敘述何者錯誤？",8,114,"2026-09-04",1788510713714]