[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-2-產兒科護理學-048","nurse-112-2-maternal-pediatric-048",112,2,48,"小桃，8 歲，因氣喘發作住院接受治療，主訴：「因為我愛吃冰，然後出去玩沒戴口罩，也沒穿外套，所以就發作了」，下列何者為小桃此階段「疾病概念」發展的特色？",{"A":14,"B":15,"C":16,"D":17},"生病是兩件事情接近，不可思議發生的","生病是來自外在但存於身體內部的","生病是來自外在的人、物或行動對兒童身體不好或有傷害的","生病是外在原因與自己無關的具體現象","C",null,[],"本題考點為學齡期兒童對疾病成因的認知概念。依皮亞傑（Piaget）認知發展，學齡期屬具體運思期，對疾病的理解進展為「污染（contamination）」概念，即認為生病是外在的人、事、物或自身某種不當行為對身體造成傷害的結果，故選 C。題中小桃將發作歸因於吃冰、沒戴口罩、沒穿外套等自身外在行為，正符合此特徵。A 屬前運思期較早的「現象論」，把時空接近的兩件事錯連為因果。B 屬更成熟的「內化（internalization）」概念，理解病因來自體內但由外在引發。D 錯在此期兒童已能將疾病與自身行為連結，不會認為與自己完全無關。","Bibace 與 Walsh 依皮亞傑架構將兒童疾病概念分階段：前運思期為現象論、傳染（接近即得病）；具體運思期為污染、內化；形式運思期則能理解生理心理機轉與交互作用。判題關鍵在題幹是否強調「外在因素＋自身行為」導致傷害。此題與第 049 題（具體運思期）可對照，理解同一認知期在不同題幹敘述下的表現差異。",[24,27,29,32],{"term":25,"count":26},"皮亞傑認知發展",6,{"term":28,"count":26},"具體運思期",{"term":30,"count":31},"污染概念",1,{"term":33,"count":31},"兒童疾病概念發展",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-049","依據皮亞傑（Piaget）認知發展理論，有關具體運思期兒童對疾病的概念，下列敘述何者最適宜？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-maternal-pediatric-015","有關產後婦女之情緒照顧，下列護理指導何者不適當？",15,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-maternal-pediatric-009","第二產程中所應用的呼吸型式中，能減少因胎兒娩出時所致會陰或產道撕裂傷，下列何項最不適當？",9,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-115-1-maternal-pediatric-007","張女士，G1P0，懷孕 40 週入院待產。目前子宮頸擴張 4 公分，變薄 50%，先露部位高度為 0，羊膜完整，無特殊異常狀況，胎心率為 140 bpm。她詢問：「我可以下床走走嗎？」，護理師最適當的回答是：",7,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-maternal-pediatric-031","有關糖尿病婦女於妊娠期間護理措施之敘述，下列何者正確？",31,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-maternal-pediatric-065","高危險新生兒常易出現呼吸窘迫症候群（RDS），下列敘述何者錯誤？",65,107,"2026-09-04",1788510748393]