[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-069":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-069","nurse-109-1-maternal-pediatric-069",109,1,69,"王小妹，1 歲，因感冒、發燒、左耳痛而就診，被診斷為急性中耳炎，下列護理措施何者較適當？",{"A":14,"B":15,"C":16,"D":17},"避免藥物成癮，衛教少服止痛藥","清潔耳道時，耳朵宜向下向後拉","休息時宜採側右臥姿，以免壓迫左耳","避免產生抗藥性，衛教若無症狀，其抗生素即可自行停藥","B",null,[],"本題考點在於三歲以下幼兒急性中耳炎的護理與外耳道解剖。依耳部解剖，三歲以下幼兒外耳道短且方向偏水平，清潔或滴藥時耳廓應向下、向後拉以拉直耳道（成人則向上向後），故 B 正確。A 錯在衛教少服止痛藥，急性中耳炎疼痛明顯，應依醫囑適當給予止痛，過度限制不當。C 錯在臥姿，患耳為左耳，若採右側臥使左耳朝上反而不利分泌物引流，且敘述與促進引流原則不符。D 錯在抗生素使用，即使症狀緩解仍須完成整個療程，自行停藥易導致復發與抗藥性，不可無症狀即停藥。故正確措施為 B。","解剖口訣：「小孩向下後、大人向上後」拉耳廓。幼兒歐氏管（耳咽管）短、平、寬，鼻咽部病菌易上行至中耳，是好發急性中耳炎的解剖原因。用藥重點是完成抗生素全療程避免復發與抗藥性；疼痛與發燒可依醫囑給止痛退燒藥。反覆中耳炎或積液可能影響聽力與語言發展，需追蹤。",[24,27,29,31],{"term":25,"count":26},"抗生素須完成療程",2,{"term":28,"count":10},"幼兒外耳道解剖",{"term":30,"count":10},"耳廓向下向後拉",{"term":32,"count":10},"歐氏管短平寬",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-070","張小弟，5 個月大，因呼吸喘、痰液多而入院，診斷為細支氣管炎（Bronchiolitis），入院後需抽痰，有關抽痰護理的敘述下列何者正確？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-maternal-pediatric-006","懷孕 32 週婦女接受無壓力性試驗（Nonstress Test; NST）20 分鐘後，未發現胎兒有活動訊號，下列措施何者最適當？",6,110,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-110-2-maternal-pediatric-020","李女士，哺餵母乳，產後出院前表示：「我暫時不想懷孕，想跟以前一樣吃避孕藥，可以考慮使用避孕器，其他方法就不用了。」，下列敘述何者最適當？",20,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-058","安安，9 歲，因白血病復發病況惡化，常主訴身體疼痛，下列處置何者較不適當？",58,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-022","丁女士，妊娠 12 週，接受第二次產前檢查，發現其紅血球平均容積（MCV）為 60 fl。針對丁女士的狀況，下列何者為最優先處置？",22,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-016","有關哺餵母乳的好處，下列敘述何者正確？",16,114,"2026-09-04",1788510713799]