[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-110-2-產兒科護理學-076","nurse-110-2-maternal-pediatric-076",110,2,76,"張小弟，10 歲，診斷為腎病症候群（nephrotic syndrome），目前服用 Prednisolone 治療，下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"常見副作用是掉髮，建議以帽子或假髮修飾","出現腸胃不適，先自行停藥，待症狀改善後再服用","避免接觸有傳染病源的人或環境，以預防感染","解血尿是藥物副作用所致，停藥後會改善","C",null,[],"本題考點是腎病症候群兒童使用類固醇(Prednisolone)的護理指導。考點在於類固醇會抑制免疫功能，增加感染風險。選項C「避免接觸傳染病源的人或環境以預防感染」最適當，直接對應類固醇免疫抑制的照護重點，故為答案。A「常見副作用是掉髮」錯誤，類固醇常見副作用為月亮臉、體重增加、多毛、食慾增加，而非掉髮；B「腸胃不適先自行停藥」錯誤，類固醇須依醫囑逐步減量，驟停會引發腎上腺功能不足；D「解血尿是藥物副作用、停藥會改善」錯誤，血尿與蛋白尿反映腎臟病況，非類固醇副作用。故C最正確。","腎病症候群四特徵:大量蛋白尿、低白蛋白血症、水腫、高血脂。類固醇為首選治療但副作用多:免疫抑制易感染、月亮臉水牛肩、體重增、血糖血壓上升、骨質疏鬆、生長抑制、腸胃刺激。用藥重點:不可驟停須漸減、防感染、監測體重與水腫、限鈉。記憶:類固醇怕感染、怕驟停;副作用是圓臉胖不是掉髮。可連結:水腫護理、白蛋白輸注、復發追蹤蛋白尿。",[24,27,30,33],{"term":25,"count":26},"腎病症候群",5,{"term":28,"count":29},"感染預防",3,{"term":31,"count":32},"類固醇免疫抑制",1,{"term":34,"count":32},"不可驟停",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-077","小芳，5 歲，罹患腦性麻痺（cerebral palsy），因咀嚼及吞嚥能力較差，導致進食量少，有關協助其進食的護理措施，下列敘述何者正確？",77,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-maternal-pediatric-013","王女士，G 1 P 0 ，懷孕 24 週，常規的產前檢查正常。詢問護理師：「我有時會覺得肚子繃緊，但不覺得痛。繃緊感有時候幾秒鐘就過去，通常不超過 1 分鐘，沒有其他不舒服，這樣是正常嗎？」下列的回答，何者最適當？",13,111,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-112-1-maternal-pediatric-027","產後 3～10 天，產婦的注意力集中在母親職責的學習及自己身體功能的恢復，這是符合魯賓（Rubin）提出的那一期？",27,112,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-113-1-maternal-pediatric-015","有關產後婦女之情緒照顧，下列護理指導何者不適當？",15,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-maternal-pediatric-019","下列那些新生兒反射在長大後不會消失，持續一生都存在？①眨眼反射（blinking reflex） ②吸吮反射（sucking reflex） ③吞嚥反射（swallowing reflex） ④巴賓斯基反射（Babinski reflex） ⑤作嘔反射（gag reflex） ⑥擁抱反射（moro reflex）",19,114,{"webId":61,"stem":62,"number":43,"year":63,"session":32},"nurse-106-1-maternal-pediatric-013","承上題，護理師提供蘇女士背部按摩以減輕疼痛，此護理措施是根據那一種疼痛理論？",106,"2026-09-04",1788510730362]