[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-109-1-產兒科護理學-065","nurse-109-1-maternal-pediatric-065",109,1,65,"臺灣安寧緩和醫療條例保障不可治癒之臨終末期病人的醫療意願，有關兒童安寧緩和醫療照護，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"家屬簽署“不施行心肺復甦術同意書”前，建議能夠和病童充分溝通","依照病童的年齡可利用繪本故事共同討論他們對死亡的概念","父母在病童臨終時，依照病童體力可負荷狀況盡力滿足病童的心願","兒童安寧緩和醫療不宜於兒童癌症診斷確立時即介入","D",null,[],"本題考點在於兒童安寧緩和醫療的介入時機與理念。依安寧緩和照護原則，安寧療護應早期介入、與治癒性治療並行，以症狀控制與生活品質為核心，而非等到臨終才提供。D 稱「不宜於兒童癌症診斷確立時即介入」與此理念相違，故為錯誤敘述、即答案。A 正確，簽署不施行心肺復甦術（DNR）同意書前，宜依病童年齡與理解能力充分溝通。B 正確，可依年齡運用繪本、故事協助兒童建構死亡概念。C 正確，臨終時在病童體力可負荷下盡力滿足心願，符合尊重個案意願的精神。三者皆符合，唯 D 誤解了早期介入原則。","現代安寧緩和的核心轉變是「早期整合模式」：診斷之初即與積極治療並行，而非二選一或臨終才啟動，兒童癌症尤其強調自診斷起提供心理、症狀與家庭支持。台灣安寧緩和醫療條例保障末期病人拒絕心肺復甦與維生醫療的意願。兒童面向須依認知發展調整死亡溝通，並重視父母與手足的哀傷照護。",[24,26,28,30],{"term":25,"count":10},"兒童安寧緩和醫療",{"term":27,"count":10},"早期介入\u002F與治癒治療並行",{"term":29,"count":10},"安寧緩和醫療條例",{"term":31,"count":10},"DNR 同意書溝通",[33,37,42,46,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-066","小瑋，6 歲，罹患膽道閉鎖，多年來等不到肝臟移植，面臨死亡，父母在與小瑋討論死亡時，下列敘述何者錯誤？",66,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-maternal-pediatric-002","有關產婦接受腰椎硬膜外麻醉術可能發生的合併症，下列何者錯誤？",2,110,{"webId":43,"stem":44,"number":45,"year":41,"session":40},"nurse-110-2-maternal-pediatric-016","李女士 G 1 P 0 ，子宮收縮每 2 分鐘一次，子宮頸口開 9 公分，變薄程度為 90%，先露部位高度為 0，產婦說：「我很痛，我要用力了」，此時的優先護理措施為何？",16,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-111-2-maternal-pediatric-054","早產兒若氧氣濃度超過 60%，PaO 2 \u003C 60 mmHg 時，醫囑使用持續性氣道正壓呼吸（CPAP），下列敘述何者不適當？",54,111,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-maternal-pediatric-018","有關新生兒之身體評估方式，下列何者不適當？",18,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-maternal-pediatric-012","有關鼓勵孕產家庭與家中新成員－新生兒的依附關係的建立，下列敘述何者錯誤？",12,114,"2026-09-04",1788510713756]