[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-052":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":10},"nurse-111-1-產兒科護理學-052","nurse-111-1-maternal-pediatric-052",111,1,52,"有關病童約束的原則，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"有醫囑和家屬同意書時，才能執行約束","須確保約束肢端的皮膚完整性","每隔 2 小時要評估約束的狀況","木乃伊約束是嬰兒常用的約束法之一","C",null,[],"本題考點是兒童身體約束的安全原則。依約束安全規範，約束期間須頻繁評估肢端循環與皮膚，一般至少每 15～30 分鐘觀察一次、並定時鬆綁活動，選項 C 寫「每隔 2 小時評估」間隔過長、不符安全標準而錯誤，故選 C。A 正確，執行約束須有醫囑並取得家屬同意，屬限制性措施的必要條件。B 正確，須維持約束肢端皮膚完整性、避免壓傷與循環受阻。D 正確，木乃伊約束（mummy restraint）以布單包裹軀幹與四肢，是嬰幼兒短暫檢查或處置常用的約束法。","約束屬最後手段、應採最少限制原則，評估重點為循環（膚色、溫度、脈搏、微血管填充）、感覺與活動。兒科常見約束型式：木乃伊約束用於頭頸處置、肘關節約束防止抓抓（如術後），皆須定時鬆綁與皮膚照護。記憶關鍵：頻繁評估（分鐘等級）而非每 2 小時，才能及早發現循環障礙。可延伸連結最少限制原則與約束替代方案。",[24,26,28,30,32],{"term":25,"count":10},"身體約束原則",{"term":27,"count":10},"肢端循環評估",{"term":29,"count":10},"評估頻率",{"term":31,"count":10},"木乃伊約束",{"term":33,"count":10},"最少限制原則",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-053","小方，進入瀕臨死亡狀態，有關瀕死的生命跡象，下列何者最不適當？",53,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-maternal-pediatric-069","有關腸病毒的預防與環境消毒，下列何者正確？",69,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-112-2-maternal-pediatric-003","趙女士至門診確認懷孕 8 週，有孕吐現象，詢問有關孕期熱量攝取，下列何者為最適當的回答？",3,112,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-113-2-maternal-pediatric-021","初產婦 34 歲，妊娠 38 週胎兒發育符合妊娠週數，因破水入院後 24 小時仍無宮縮，予以評估子宮頸成熟度，發現其子宮頸擴張＜1 公分，子宮頸變薄 30%，無法觸診到胎兒的先露部位，子宮頸位置在後方且堅硬。依據上述情境，若採 Bishop 計分法評估，以決定後續相關處置，下列敘述何者較適當？",21,113,{"webId":55,"stem":56,"number":57,"year":58,"session":47},"nurse-114-3-maternal-pediatric-025","有關子宮內膜異位症，下列敘述何者正確？",25,114,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-maternal-pediatric-069","小樺，7 歲，最近因持續發燒、易流鼻血而求診，診斷疑似急性淋巴性白血病，下列那一項檢查結果可以確定其診斷？",106,"2026-09-04",1788510735823]