[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-產兒科護理學-075","nurse-112-2-maternal-pediatric-075",112,2,75,"有關病童罹患腸套疊（Intussusception）之治療和護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"可採趴睡壓迫腸子促使自動復位","若需執行外科手術，可以拉扯方式將嵌入腸道復位避免壞死","鋇劑灌腸是以液體和空氣壓力將嵌入腸子推回原位","腸套疊治療復位後可立即出院","C",null,[],"本題考點是腸套疊的復位原理與治療護理。腸套疊指近端腸段套入遠端腸腔造成阻塞，非手術復位以鋇劑或空氣灌腸，靠液體與氣體的壓力把套入的腸段推回原位，故選 C。趴睡並無使腸套疊自動復位的機轉，A 錯。外科手術復位時是以輕柔擠壓方式將套入腸段推出，嚴禁拉扯以免撕裂腸壁，B 錯。復位後仍可能再套疊，需留院觀察腹脹、排便與生命徵象一段時間，不可立即出院，D 錯。","腸套疊好發於 3 個月至 2 歲嬰幼兒，典型三聯徵為陣發性腹痛(嬰兒表現為突發哭鬧、雙腿屈曲)、草莓果醬樣血便，以及右上腹可觸及臘腸狀腫塊。診斷首選腹部超音波(靶心徵 target sign)。空氣或鋇劑灌腸兼具診斷與治療功能，成功率高但有再發風險，故復位後觀察是護理重點。若已出現腹膜炎或腸壞死徵象則禁用灌腸復位，須直接手術。",[24,26,29,31],{"term":25,"count":10},"鋇劑灌腸復位",{"term":27,"count":28},"腸套疊 Intussusception",1,{"term":30,"count":28},"空氣壓力復位",{"term":32,"count":28},"復位後再套疊風險",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-076","吳小弟，5 個月大，持續腹瀉，有關護理指導的敘述，下列何者較不適當？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-maternal-pediatric-042","小華，6個月，罹患兒童癌症，目前接受化學治療且須治療半年以上，則小華可以接種下列何種疫苗？",42,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-036","有關新生兒胎便吸入症候群的症狀及處置之敘述，下列何者錯誤？",36,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-maternal-pediatric-034","林小妹，27 週早產兒，出生體重 860 公克，出生後胸部 X 光呈現毛玻璃樣影像，有關呼吸窘迫症候群（respiratory distress syndrome）的醫療處置與護理措施，下列敘述何者正確？",34,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-058","小明，1 歲半，診斷為川崎氏症而住院治療。醫囑給予小明高劑量 Aspirin 100 mg\u002Fkg\u002Fday，及靜脈注射免疫球蛋白（intravenous immune globulin）2g\u002Fkg。下列護理指導內容，何者不適當？",58,106,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-maternal-pediatric-012","江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",12,108,"2026-09-04",1788510748640]