[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"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":10},"nurse-110-1-產兒科護理學-048","nurse-110-1-maternal-pediatric-048",110,1,48,"有關兒童疼痛概念與認知的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"早產兒、新生兒不會覺得疼痛，因為傳導慢","16 個月的小欣，對疼痛有記憶看到針頭就哭","5 歲的小美用語言抗議和肢體活動來表達疼痛","7 歲的阿偉將疼痛視為一種錯誤行為的懲罰","A",null,[],"本題考點是兒童疼痛認知與生理的正確概念。考點在於辨識錯誤敘述。依神經發育證據，早產兒與新生兒的痛覺傳導路徑已具功能，能感受疼痛，甚至因抑制機制尚未成熟而更敏感，故「早產兒、新生兒不會覺得疼痛，因為傳導慢」為錯誤，選 A。B 16 個月幼兒對疼痛已有記憶、見針頭而哭，符合發展。C 5 歲幼兒以語言抗議與肢體活動表達疼痛，符合發展。D 7 歲學齡童可能將疼痛視為對錯誤行為的懲罰，符合認知發展特徵。故錯誤者為 A。","早產兒疼痛神經基礎：痛覺受器與脊髓上行路徑於妊娠中後期已建立，下行抑制系統則較晚成熟，因此新生兒對疼痛不僅有感受、疼痛閾值可能更低，反覆疼痛刺激還可能造成長期神經行為影響。各年齡疼痛概念可對比：嬰幼兒以記憶與制約反應（見針頭即哭）、學齡前以具體與魔幻思考（把疼痛當懲罰）、學齡期漸能理解因果。破除「新生兒不會痛」的迷思是新生兒疼痛管理的立論基礎。",[24,26,28],{"term":25,"count":10},"新生兒疼痛",{"term":27,"count":10},"痛覺傳導發育",{"term":29,"count":10},"疼痛認知發展",[31,35,40,45,50,56],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-110-1-maternal-pediatric-049","有關兒童常用的鴉片類製劑（opioids）疼痛處置，下列敘述何者正確？",49,{"webId":36,"stem":37,"number":38,"year":9,"session":39},"nurse-110-2-maternal-pediatric-065","小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",65,2,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-1-maternal-pediatric-079","有關成骨不全（osteogenesis imperfecta）病變的護理措施，下列敘述何者錯誤？",79,111,{"webId":46,"stem":47,"number":48,"year":49,"session":39},"nurse-112-2-maternal-pediatric-037","有關血清抗穆氏管荷爾蒙（Anti-mullerian Hormone, AMH）檢查之敘述，下列何者錯誤？",37,112,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-011","有關治療子宮內膜異位症的藥物，下列何者錯誤？",11,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-115-1-maternal-pediatric-005","林女士 40 歲，目前懷孕 10 週，高興成功懷孕，但也擔心胎兒有染色體問題。有關此期唐氏症遺傳診斷檢查之敘述，下列何者最不適當？",5,115,"2026-09-04",1788510722024]