[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-068":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-068","nurse-112-2-maternal-pediatric-068",112,2,68,"有關血友病（Hemophilia）兒童的居家照護指導，下列敘述何者最為正確？",{"A":14,"B":15,"C":16,"D":17},"若出現皮膚或黏膜表層出血，宜局部加壓並於凝血後給與熱敷","學齡前期兒童可指導其學習凝血因子之皮下注射","可使用軟毛牙刷及口腔保健，預防齲齒","家裡需常備 acetaminophen、aspirin、codeine 等止痛藥物","C",null,[],"本題考點為血友病兒童的居家安全照護。依血友病（凝血因子缺乏）照護原則，維持口腔衛生、使用軟毛牙刷可減少牙齦出血並預防齲齒（齲齒惡化需侵入性牙科處置反增出血風險），故選 C 最為正確。A 錯在表層出血應局部加壓並「冰敷」促使血管收縮止血，熱敷會使血管擴張加重出血。B 錯在凝血因子須以「靜脈注射」補充，而非皮下注射，且施打對象多為家長或年齡足夠可自我注射的較大兒童，學齡前期兒童自行注射不適當。D 錯在血友病病童禁用阿斯匹靈（aspirin）及影響血小板功能的止痛藥，止痛應選對凝血影響小的 acetaminophen，家中常備 aspirin、codeine 並不適當。","血友病為 X 染色體隱性遺傳的凝血因子缺乏（A 型缺第 VIII 因子、B 型缺第 IX 因子），特徵是深部與關節出血（hemarthrosis）。居家照護重點：避免碰撞外傷、關節出血採 RICE（休息、冰敷、加壓、抬高）、禁用 aspirin 與 NSAIDs（抑制血小板）、止痛用 acetaminophen、凝血因子靜脈補充、維持口腔衛生避免侵入性牙科處置。冰敷而非熱敷是本題核心對比。",[24,27,30,32],{"term":25,"count":26},"血友病",6,{"term":28,"count":29},"冰敷止血",1,{"term":31,"count":29},"禁用阿斯匹靈",{"term":33,"count":29},"凝血因子靜脈注射",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-069","小美，5 歲，罹患白血病，正處於引導緩解期，對於此階段的護理照護指導，下列敘述何者錯誤？",69,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-maternal-pediatric-035","小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",35,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-maternal-pediatric-029","小華會把樂高分享給小美，兩人會交換玩具，但各玩各的，是屬於兒童遊戲發展那一個階段？",29,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-maternal-pediatric-027","小妍，16 歲，是長期厭食症患者，此次嚴重營養不良而入院治療，有關厭食症的症狀或行為，下列敘述何者最不適當？",27,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-maternal-pediatric-051","嬰幼兒疼痛評估，不包括下列那一項？",51,106,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-1-maternal-pediatric-005","一位單胞胎孕前 BMI 為 30 的孕婦，其飲食與體重的護理指導，下列何者最適當？",5,108,"2026-09-04",1788510748576]