[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-066":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-066","nurse-109-1-maternal-pediatric-066",109,1,66,"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？",{"A":14,"B":15,"C":16,"D":17},"僅提及快樂的事情，避免引發哀傷反應，以減輕小瑋焦慮","小瑋主動提及死亡時，父母應認真回應，不要虛張聲勢","問問小瑋：「你的想法呢？」，使小瑋有機會說自己對死亡的想法","父母與小瑋主動分享自己面對死亡的感受","A",null,[],"本題考點在於與臨終兒童討論死亡的溝通原則。依兒童臨終溝通與哀傷照護理念，應誠實、開放並允許兒童表達對死亡的想法與感受，而非迴避。A 主張「僅提及快樂的事、避免引發哀傷」，實則封閉了兒童表達與被理解的機會、反而增加孤立與焦慮，違反開放誠實原則，故為錯誤敘述、即答案。B 正確，兒童主動提及死亡時父母應認真回應、不虛張聲勢，維持信任。C 正確，以「你的想法呢？」開放式提問，讓兒童有機會說出自己的死亡觀。D 正確，父母主動分享自身感受可示範情緒表達、拉近彼此。三者皆恰當，唯 A 採取迴避態度。","兒童對死亡的理解隨認知發展變化：學齡前多為魔幻思考、認為死亡可逆；學齡期漸能理解死亡的永久性與普遍性。溝通要領是「誠實、開放、以兒童為主導、允許情緒」。迴避或粉飾（如只談快樂事）會讓兒童感到被隔離，反增焦慮。開放式提問與同理回應能減輕孤獨感，是哀傷照護的核心技巧。",[24,26,28,30],{"term":25,"count":10},"臨終兒童溝通",{"term":27,"count":10},"誠實開放原則",{"term":29,"count":10},"開放式提問",{"term":31,"count":10},"兒童死亡概念發展",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-067","有關兒童疼痛之敘述，下列何者錯誤？",67,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-maternal-pediatric-003","有關妊娠期腸胃系統的變化所造成孕婦不適的現象，下列敘述何項正確？",3,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-maternal-pediatric-017","蔡女士第一胎，子宮收縮每 2 分鐘一次，每次持續 60 秒，收縮強度為中度，子宮頸口開 8 公分，突然自然破水，羊水呈棕綠色，無晚期減速或變異性減速的情形。此時最優先的護理措施為何？",17,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-maternal-pediatric-055","對於高胱胺酸尿症（homocystinuria, HCU）兒童的長期照護，下列何者錯誤？",55,111,{"webId":53,"stem":54,"number":55,"year":56,"session":40},"nurse-112-3-maternal-pediatric-019","下列何種免疫球蛋白胎兒無法自行合成，需於出生後從母乳中獲得？",19,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-maternal-pediatric-013","林女士，G 1P 1，剖腹生產後一週，主訴全身發熱不舒服，身體檢查沒有明顯身體其他部位疼痛情況。若是此發熱不適與子宮復舊有關，下列何者為最可能的子宮復舊評估結果？",13,114,"2026-09-04",1788510713773]