[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-111-2-產兒科護理學-049","nurse-111-2-maternal-pediatric-049",111,2,49,"有關兒童疼痛的處理，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"使用鴉片類藥物，會合併給予緩瀉藥物以預防合併症發生","讀故事書是一種分散注意力法，可運用於 6 歲以上的小孩","EMLA 是一種局部麻醉劑，需於侵入性治療前 1 小時使用","Acetaminophen 是一種非類固醇抗發炎藥物，適合輕度疼痛","A",null,[],"本題考點是兒童疼痛處理,屬選『最不適當』題,官方答案為A。B讀故事書屬分散注意力法、C EMLA須於侵入性治療前約1小時塗抹,均可接受。官方將A『鴉片類會併用緩瀉劑預防合併症』判為最不適當。惟需誠實提醒:D將Acetaminophen歸為『非類固醇抗發炎藥(NSAID)』其實不正確——它無明顯抗發炎作用、不屬NSAID;而A的『鴉片併緩瀉劑預防便秘』臨床上實屬合理。本題選項爭議較大,把握度標低,作答以官方A為準。","藥理正確觀念供釐清:①鴉片類幾乎必然引起便秘且不會產生耐受性,臨床確實常『預防性』併用緩瀉劑\u002F軟便劑,故A敘述本身合乎常規;②Acetaminophen(乙醯胺酚)機轉以中樞為主、周邊抗發炎作用微弱,分類為苯胺類止痛退燒藥,並非NSAID,適用輕度疼痛,故D『非類固醇抗發炎藥』的歸類有誤;③EMLA(lidocaine+prilocaine)須提前約60分鐘塗覆並封包才達皮膚麻醉效果。本題A、D兩選項皆有可議之處,屬需審慎看待的爭議題;複習重點放在『鴉片→便秘須併緩瀉』『Acetaminophen非NSAID』『EMLA提前1小時』三個獨立正確知識點,而非死背此題判定。",[24,27,29,31],{"term":25,"count":26},"鴉片類藥物與便秘預防",1,{"term":28,"count":26},"Acetaminophen非NSAID",{"term":30,"count":26},"EMLA局部麻醉使用時機",{"term":32,"count":26},"兒童疼痛非藥物處置",[34,38,43,47,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-066","小宇，10 歲，患有主動脈狹窄（Coarctation of the Aorta, COA），入院時可能出現的臨床表徵，下列敘述何者不適當？",66,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-080","小花，3 歲，因腦膜炎（Meningitis）導致顱內壓升高，不會出現下列何種臨床徵象？",80,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-048","7 歲的奇奇罹患腦性麻痺，因基底核和錐體外病變，產生不自主運動，且出現無法控制四肢抖動，尤其影響手部的書寫功能，有關奇奇罹患之腦性麻痺的型態，下列何者正確？",48,113,3,{"webId":54,"stem":55,"number":10,"year":56,"session":10},"nurse-115-2-maternal-pediatric-002","李女士，懷孕 34 週，產檢時超音波檢查顯示胎兒體重偏小，且羊水量較少，但呼吸運動與肌肉張力皆正常，醫生建議她進一步進行胎兒健康評估，下列檢查何者對母嬰的風險較低且適合？",115,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-2-maternal-pediatric-066","盼盼，6 歲，罹患先天性心臟病，依醫囑服用毛地黃，下列何者不是毛地黃中毒的症狀？",106,"2026-09-04",1788510739427]