[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-2-產兒科護理學-077","nurse-110-2-maternal-pediatric-077",110,2,77,"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？",{"A":14,"B":15,"C":16,"D":17},"提供高熱量、高蛋白質的流質食物，以增加進食量","儘量將食物置放於舌頭後方","膝蓋放鬆低於大腿，雙腳自然下垂","不鼓勵小芳使用輔具學習獨立進食能力，以防嗆到","B",null,[],"本題考點是腦性麻痺兒童進食安全的護理措施。考點在於因咀嚼吞嚥能力差，須以擺位與餵食技巧預防嗆咳與吸入。選項B「儘量將食物置放於舌頭後方」正確，可協助食物順利進入咽部、減少舌頭將食物推出並促進吞嚥反射，故為答案。A「提供高熱量高蛋白流質」不當，過稀的流質反而易嗆入，應提供適度濃稠、質地一致的食物；C「膝蓋放鬆低於大腿、雙腳下垂」不當，進食應維持頭頸軀幹直立、髖膝屈曲、雙腳有支撐的穩定坐姿；D「不鼓勵使用輔具」不當，應鼓勵以合適輔具學習獨立進食。故唯B符合安全吞嚥原則。","腦性麻痺進食安全:直立坐姿、頭頸中線稍前傾防嗆、髖膝踝屈曲九十度並有足部支撐以穩定張力、食物放舌中後段助吞嚥、質地適度濃稠(過稀易嗆、過乾難嚥)、少量慢餵、餐後維持直立防逆流吸入。鼓勵適應性餐具促進自主進食。記憶:坐正、放後、稠一點、慢慢餵。可連結:腦性麻痺常見肌張力異常、營養不良與吸入性肺炎風險;跨團隊含語言治療師吞嚥評估。",[24,27,30,32],{"term":25,"count":26},"腦性麻痺",6,{"term":28,"count":29},"吞嚥安全",1,{"term":31,"count":29},"進食擺位",{"term":33,"count":29},"食物質地",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-2-maternal-pediatric-014","有關胎兒娩出的過程，當左枕前位（LOA）的胎兒完成內回轉（internal rotation）。此時胎頭與母體骨盆間的關係，下列敘述何者正確？",14,111,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-112-1-maternal-pediatric-028","有關產婦乳腺炎的評估及照護，下列敘述何者錯誤？",28,112,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-1-maternal-pediatric-016","婦女產後痛（after pain）主要是評估下列那一個器官或組織之健康問題？",16,113,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-114-2-maternal-pediatric-020","有關妊娠糖尿病母親所產下新生兒的常見合併症，下列何者錯誤？",20,114,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-106-1-maternal-pediatric-014","胎兒以面產式，胎頭完全仰伸進入骨盆時，呈現的徑線為下列何者？",106,"2026-09-04",1788510730366]