[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-079":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":26},"nurse-112-2-產兒科護理學-079","nurse-112-2-maternal-pediatric-079",112,2,79,"小琪，5 歲，診斷為中度腦性麻痺（Cerebral Palsy），有咀嚼、吞嚥控制困難問題，有關飲食之居家照顧指導，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可以三指下顎控制法（three-finger jaw control）協助小琪進食","儘量將食物置於舌頭前方，避免哽塞","餵食姿勢應維持頭部正中位置，使肩部前屈","液態過稀的物質，可用增稠劑以利吞嚥順暢","B",null,[],"本題考點是腦性麻痺病童進食安全的居家指導，屬反向題。錯誤敘述為 B，將食物置於舌頭前方容易被舌頭往外推(舌外推反射)並增加哽塞風險，正確做法是把食物放在舌中後段或健側，故選 B。三指下顎控制法(three-finger jaw control)可穩定下顎、協助閉唇與咀嚼吞嚥，A 適當。餵食時維持頭部正中、肩部微前屈的姿勢能保護呼吸道降低吸入，C 適當。太稀的液體流速快不易控制，加入增稠劑可放慢流速讓吞嚥更安全，D 適當。","腦性麻痺病童常有口腔動作協調障礙與異常反射(舌外推、咬合反射)，進食安全著重姿勢擺位與食物質地調整。頭頸中線、身體直立稍前傾可對齊呼吸道與食道並降低吸入性肺炎風險。增稠劑處理稀薄液體是吞嚥困難(dysphagia)管理的通則。下顎控制法藉外力補足肌張力不足，讓咀嚼吞嚥更協調。記憶重點：食物放舌後、姿勢正中前屈、液體加稠，都指向同一個目標——防哽塞與防吸入。",[24,27,29,31],{"term":25,"count":26},"腦性麻痺 Cerebral Palsy",1,{"term":28,"count":26},"吞嚥困難 dysphagia",{"term":30,"count":26},"三指下顎控制法",{"term":32,"count":26},"舌外推反射 增稠劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"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":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-046","小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",46,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-040","2 歲的王小弟罹患先天性心臟病，以毛地黃（digoxin）治療，一天服用兩次。下列敘述何者正確？",40,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-038","為 5 個月大的嬰兒進行呼吸系統的身體檢查與評估時，下列敘述何者最適當？",38,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-062","有關學童發生氣喘會出現病理生理上的變化，下列敘述何者錯誤？",62,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-016","有關剖腹產的敘述，下列何項錯誤？",16,108,"2026-09-04",1788510748668]