[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-1-產兒科護理學-009","nurse-111-1-maternal-pediatric-009",111,1,9,"陳女士，懷孕 28 週，有一位 4 歲的孩子小明。小明對陳女士說：「我討厭媽媽肚子裡面的小妹妹，因為媽媽只關心她，都不和我玩」。下列護理師回應，何者最適當？",{"A":14,"B":15,"C":16,"D":17},"告訴小明，要學習愛妹妹","讓小明用聽診器聽胎兒心跳","帶小明參加產前教室","利用遊戲轉移小明注意力","B",null,[],"本題考點在於學齡前手足因新生兒到來產生退化與嫉妒情緒的護理處置。依兒童發展與家庭調適原則,4 歲幼兒面對即將出生的手足容易感到被冷落而嫉妒,最適當的作法是「讓他實際參與、增加與胎兒的正向連結」,故 B 讓小明用聽診器聽胎兒心跳,能讓他具體參與並感到被納入,是最適當回應,為本題答案。A 直接說教「要學習愛妹妹」否定其情緒,不當。C 帶去產前教室不符 4 歲幼兒的參與方式,且未直接處理其情緒。D 轉移注意力只是迴避,並未協助其接納手足與抒發感受,故非最佳。","手足競爭(sibling rivalry)的護理原則是「接納情緒、鼓勵參與、維持個別關注」:讓幼兒摸肚子、聽心跳、幫忙準備嬰兒用品,使其成為「哥哥\u002F姊姊」角色而非被取代者。應避免否定情緒(如責備「不可以討厭妹妹」)或單純轉移注意。也建議在新生兒出生後保留與大孩子的專屬相處時間,以減緩退化行為(如尿床、討奶瓶)。",[24,27,30,32,34],{"term":25,"count":26},"手足競爭",3,{"term":28,"count":29},"學齡前發展",2,{"term":31,"count":10},"鼓勵參與",{"term":33,"count":10},"情緒接納",{"term":35,"count":10},"親子連結",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-maternal-pediatric-010","有關胎兒染色體檢查的敘述，下列何者錯誤？",10,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-maternal-pediatric-026","齊女士，月經週期規律，擬以安全期法避孕，下列護理師的指導何者正確？",26,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-maternal-pediatric-040","李女士 40 歲，因子宮内膜癌進行全子宮和雙側輸卵管卵巢切除術，出院前的護理指導，下列何者正確？①第 1 年每 6 個月回診一次 ②不可抬過重的物品 ③告知可能的更年期症狀 ④術後半年避免性行為",40,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-maternal-pediatric-028","有關滿15個月大幼兒之動作發展，下列敘述何者正確？",28,113,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-2-maternal-pediatric-032","小芬，6 歲，罹患骨髓炎（osteomyelitis），有關護理措施，下列敘述何者不適當？",32,114,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-1-maternal-pediatric-026","哺餵母乳使月經較延後之原因為何？",106,"2026-09-04",1788510735396]