[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-077","nurse-111-1-maternal-pediatric-077",111,1,77,"妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"餵食時，盡可能採用坐姿或仰臥並抬頭抬高，以預防受嗆","當因石膏內皮膚發癢不適而哭鬧，協助以長竹棍伸入抓癢減輕不適","多給予撫觸、擁抱，利用玩具分散注意，以減輕不適","經常更換尿布，以防石膏受糞便污染","B",null,[],"本題考點為發展性髖關節發育不良施行髖人字形石膏後的居家照護，題目要選「不適當」者。石膏固定期的照護重點是保持石膏乾淨完整、預防皮膚受損與感染、並維持餵食安全。依此原則，B 以長竹棍伸入石膏內抓癢，可能刮傷內層皮膚造成傷口，異物也可能滯留引發感染，屬危險做法，故選 B。A 正確，餵食採坐姿或抬高頭部可防嗆咳。C 正確，撫觸擁抱與玩具分散注意可安撫哭鬧、減輕不適。D 正確，勤換尿布避免糞便污染石膏、維持清潔。","髖人字形石膏（hip spica cast）固定範圍大、包覆會陰與雙下肢，照護難點在於排泄污染與皮膚搔癢。正確止癢法應以冷風（吹風機冷風檔）吹拂或輕拍石膏邊緣，切忌塞入任何硬物；伸入棍棒會破壞皮膚屏障、無法取出時更成感染源。可連結石膏照護通則：抬高患肢消腫、監測末梢神經血管（膚色、溫度、脈搏、感覺、活動、腫脹的 5P\u002F6P 評估）、保持石膏邊緣平整並用防水材料保護會陰。餵食抬高頭部則為預防吸入的通用安全原則。",[24,27,29,31,33],{"term":25,"count":26},"發展性髖關節發育不良",3,{"term":28,"count":26},"感染預防",{"term":30,"count":10},"髖人字形石膏",{"term":32,"count":10},"石膏皮膚照護",{"term":34,"count":10},"末梢神經血管評估",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-078","小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",78,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-maternal-pediatric-014","有關胎心率變異性減速的敘述，下列何者正確？",14,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-maternal-pediatric-028","有關於胎兒與新生兒免疫系統之敘述，下列何者正確？",28,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-maternal-pediatric-046","王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",46,113,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-3-maternal-pediatric-050","小玉，1 歲 6 個月，罹患熱性痙攣，住院中突然痙攣發作，下列護理措施何者最適當？",50,114,{"webId":61,"stem":62,"number":43,"year":63,"session":49},"nurse-106-2-maternal-pediatric-014","高女士第一胎，待產時子宮收縮每 5～7 分鐘一次，持續時間 30～40 秒，強度為輕微～中度，子宮頸口為 2～3 公分，少許陰道出血，尚未破水，神情顯得愉快。此時適宜的護理指導為何？",106,"2026-09-04",1788510736076]