[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-110-1-產兒科護理學-051","nurse-110-1-maternal-pediatric-051",110,1,51,"小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"給予小明接種流感嗜血桿菌疫苗","協助喉嚨採檢時，備好急救用物","宜給予抽痰以維持呼吸道通暢","提供冰冷軟質食物，以減少會厭腫脹","B",null,[],"本題考點是急性會厭炎病童的安全護理原則。會厭炎會使會厭急速腫脹，任何刺激咽喉的操作都可能誘發完全性呼吸道阻塞，考點在於維護氣道安全。依此原則，協助咽喉採檢時必須先備妥急救與插管用物以防突發阻塞，故選 B。A 錯在流感嗜血桿菌疫苗屬事前預防，非急性住院當下的護理重點。C 錯在抽痰會刺激已腫脹的會厭，可能誘發喉痙攣與完全阻塞，屬禁忌。D 錯在急性期不宜任意經口進食冰冷食物，且刺激咽喉有風險。故最適當者為 B。","急性會厭炎多由 b 型流感嗜血桿菌引起，起病急、進展快，典型「4D」：drooling 流口水、dysphagia 吞嚥困難、dysphonia 發聲困難與 distress 呼吸窘迫，病童常呈前傾三腳架姿勢。護理鐵則：避免壓舌板檢查咽喉、避免抽痰或任何誘發哭鬧與喉痙攣的操作，並隨時備妥氣管插管或氣切設備。預防上 Hib 疫苗大幅降低發生率。理解「刺激咽喉即可能致命」即掌握本病照護核心。",[24,27,29,31],{"term":25,"count":26},"急性會厭炎",3,{"term":28,"count":10},"呼吸道阻塞",{"term":30,"count":10},"急救備物",{"term":32,"count":10},"喉痙攣禁忌",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-052","有關意識不清的嬰幼兒期病童疼痛評估，下列何者最適當？",52,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-068","有關鐮狀細胞貧血的敘述，下列何者錯誤？",68,2,{"webId":44,"stem":45,"number":42,"year":46,"session":42},"nurse-111-2-maternal-pediatric-002","阮女士，目前懷孕 30 週，飲食偏好辣與冷食，公婆一直抱怨這樣飲食型態對孩子健康不好，下列護理處置，何者較不適當？",111,{"webId":48,"stem":49,"number":50,"year":51,"session":42},"nurse-112-2-maternal-pediatric-040","有關子宮肌瘤的術後護理，下列何者正確？",40,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-3-maternal-pediatric-014","吳女士陰道生產，產後第 3 天表示：「坐著哺乳我的腰很痠」，下列何種產後運動最適合教導？",14,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-maternal-pediatric-008","吳女士，懷孕 40 週，規則陣痛入院待產，主述：「清晨 1 點開始，陸續出現不規則陣痛，清晨 3 點開始規律宮縮，大約 5～6 分鐘就痛一次。」下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分自然娩出一健康男嬰。下午 4 點 20 分胎盤娩出。吳女士此次生產第二產程歷經多久時間？",8,115,"2026-09-04",1788510722056]