[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-049","nurse-111-1-maternal-pediatric-049",111,1,49,"小苗，5 歲，因小腿蜂窩性組織炎住院接受治療，護理師在進行「兒童疼痛概念」發展之評估時，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"小苗會擔心自己的腳無法走路且害怕被截肢","小苗認為，吹吹痛痛的地方，疼痛就會像魔術般的消失","小苗可以正向應用其生活經驗調適疼痛","小苗可以說出蜂窩性組織炎造成自己疼痛的原因","B",null,[],"本題考點是學齡前兒童（5 歲）的疼痛概念發展。依 Piaget 前運思期特徵，此期思考具魔幻式與自我中心色彩，兒童常認為疼痛可被神奇地消除，故「吹吹痛痛的地方，疼痛就會像魔術般消失」最符合 5 歲兒的疼痛認知，選 B。A 擔心截肢、對身體完整性的憂慮較常見於學齡期兒童對身體傷害的恐懼。C 能正向運用生活經驗調適疼痛屬較成熟的因應，超出此期能力。D 能說出蜂窩性組織炎導致疼痛的因果機轉需具體邏輯思考，屬具體運思期以後的能力。","前運思期（約 2～7 歲）疼痛認知特徵包括：魔幻思考、將疼痛視為懲罰、難以定位與量化。故此期常用臉譜量表（如 Wong-Baker FACES）而非數字量表。對比記憶：魔幻消除→ 學齡前；害怕身體損傷與截肢→ 學齡期；理解病因與生理機轉→ 需具體運思。這也提醒疼痛評估工具須依發展階段選用。可延伸連結疼痛量表選用與住院兒童遊戲治療。",[24,27,30,33,35],{"term":25,"count":26},"前運思期",7,{"term":28,"count":29},"魔幻思考",4,{"term":31,"count":32},"發展階段",2,{"term":34,"count":10},"兒童疼痛概念",{"term":36,"count":10},"Wong-Baker臉譜量表",[38,42,46,51,56,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-maternal-pediatric-050","有關對於兒童疼痛控制的敘述，下列何者正確？",50,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-111-2-maternal-pediatric-066","為了增加法洛氏四重症（TOF）兒童的肺循環血流，以增加其左心充氧血的含量，下列照護處置何者錯誤？",66,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-maternal-pediatric-080","李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",80,112,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-113-2-maternal-pediatric-018","有關新生兒過渡期執行即刻母嬰肌膚接觸的敘述，下列何者為最佳時機及其理由？",18,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,114,3,{"webId":63,"stem":64,"number":45,"year":65,"session":10},"nurse-106-1-maternal-pediatric-066","有關血友病病童的運動建議，下列敘述何者正確？",106,"2026-09-04",1788510735785]