[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-045","nurse-111-1-maternal-pediatric-045",111,1,45,"林小弟，1 個月大，剛確診膽道閉鎖，父母正為是否接受手術猶豫不決。根據以家庭為中心的兒科護理特色，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"為避免父母擔憂害怕，儘量減少開刀風險相關的訊息提供","利用圖片、影片與模型向病童父母解說治療的選擇","病童母親認為因懷孕時動到胎神，護理師應向母親說明絕無此事","由父母決定選擇，醫護人員不參與，增加父母自主性","B",null,[],"本題考點是以家庭為中心照護中的資訊分享與共同決策原則。依此理念，醫護應提供完整且可理解的資訊，協助父母在充分知情下參與決策，故利用圖片、影片與模型向父母解說治療選擇最符合精神，選 B。A 錯在刻意隱瞞開刀風險，違反知情同意與資訊分享原則。C 錯在僅以「絕無此事」否定母親信念，未同理其文化與情緒需求，不符尊重與夥伴關係。D 錯在醫護完全不參與、把決定全丟給父母，這是放棄專業支持，並非賦權，真正的共同決策需醫護提供專業建議與情感支持。","以家庭為中心照護的四大核心為尊重與尊嚴、資訊分享、參與、協作。膽道閉鎖須把握葛西手術（Kasai procedure）黃金時機（多建議出生 60 天內），時效壓力下更需清楚衛教以利父母及時決策。對比記憶：A、D 皆是資訊或責任的「抽離」，C 是同理的缺席，唯 B 同時滿足資訊分享與參與。可延伸連結知情同意、共享決策模式與衛教媒材選用。",[24,27,30,32,34],{"term":25,"count":26},"以家庭為中心照護",16,{"term":28,"count":29},"共同決策",3,{"term":31,"count":29},"膽道閉鎖",{"term":33,"count":10},"資訊分享",{"term":35,"count":10},"知情同意",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-maternal-pediatric-046","兒科護理重視以家庭為中心的照護，有關其基本觀念之一「賦權（empowerment）」的定義，下列敘述何者正確？",46,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-111-2-maternal-pediatric-062","有關罹患呼吸系統疾病兒童接受胸腔物理治療之敘述，下列何者最適當？",62,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-maternal-pediatric-076","有關先天性膽道閉鎖的敘述，下列何者正確？",76,112,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-113-2-maternal-pediatric-014","有關乳腺炎（mastitis）的敘述，下列何者錯誤？",14,113,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-114-3-maternal-pediatric-018","游女士，G 1 P 0 ，懷孕 41 週，故至醫院進行催生，子宮頸未開，最常給予引發子宮收縮的藥物為下列何者？",18,114,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-1-maternal-pediatric-062","吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",106,"2026-09-04",1788510735728]