[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-061","nurse-110-1-maternal-pediatric-061",110,1,61,"小傑，8 個月，罹患支氣管肺炎（Bronchopneumonia），需住院治療，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"進行呼吸症狀評估，且依醫囑給予氧氣","促進小傑休息和節省體力，故採集中護理","每當小傑看見父母時都會大哭，宜避免父母親參與照顧","宜抬高床頭給予舒適臥姿，促進肺部擴張","C",null,[],"本題考點是嬰兒支氣管肺炎的住院護理措施。考點在於辨識不適當者。依以家庭為中心與分離焦慮理論，8 個月嬰兒正處依附關鍵期，見父母大哭是正常反應，應鼓勵父母陪伴參與照顧而非避免，故「避免父母親參與照顧」不適當，選 C。A 進行呼吸評估並依醫囑給氧，符合呼吸道疾病照護。B 集中護理以促進休息、減少耗氧，屬適當。D 抬高床頭促進肺部擴張與呼吸順暢，屬適當。故不適當者為 C。","嬰幼兒呼吸道感染照護重點：維持呼吸道通暢（拍痰、姿位引流、依醫囑氧療）、監測血氧與呼吸型態、抬高床頭、集中護理減少擾動與耗氧、維持水分與熱量。同時，父母在場能穩定嬰兒情緒、降低哭鬧引發的耗氧與缺氧，是以家庭為中心護理的核心。將父母排除於照顧之外會加劇分離焦慮並不利病情。掌握「生理照護」與「情緒依附支持」並重，即可辨識違反依附原則的錯誤選項。",[24,27,30,32],{"term":25,"count":26},"分離焦慮",13,{"term":28,"count":29},"以家庭為中心護理",2,{"term":31,"count":10},"支氣管肺炎",{"term":33,"count":10},"呼吸道照護",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-maternal-pediatric-062","有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",62,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-maternal-pediatric-078","小玉，3 歲，因原有腦室-腹膜分流管（V-P shunt）感染，已移除並接受腦室外引流（external ventricular drainage）手術，有關術後護理措施，下列敘述何者正確？",78,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-111-2-maternal-pediatric-012","王女士，29 歲，G 1 P 0 ，40 週。目前子宮頸擴張 4 公分，子宮收縮強度達 50 mmHg，可自在與護理師交談，下列護理處置何者不適當？",12,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-maternal-pediatric-050","小偉，2 歲，入住加護病房的第二天早晨哭喊著要媽媽，拒絕護理師的安撫，且出現身體攻擊行為。此行為屬於分離焦慮的那一期？",50,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-maternal-pediatric-024","護理師從胎兒監測器得知，胎兒心跳 100 次／分，持續 80 秒，其型態與宮縮沒有一定關係，此胎心率型態為：",24,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-maternal-pediatric-018","有關正常新生兒的呼吸特徵，下列何者錯誤？",18,115,"2026-09-04",1788510722153]