[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-3-產兒科護理學-035","nurse-112-3-maternal-pediatric-035",112,3,35,"為促進早產兒的統整化行為，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"提供袋鼠式護理，採皮膚接觸皮膚的方式照顧早產兒","早產兒清醒時可於保溫箱內播放輕柔音樂","絕對避免觸摸或抱起早產兒，以免引起驚嚇反射之刺激","在保溫箱內使用包巾築巢，以提供類似子宮的安全感","C",null,[],"本題考點在於早產兒統整化照護（developmental care）的原則：以減少過度刺激、提供類子宮環境為主。袋鼠式護理採皮膚接觸皮膚（A）能穩定體溫、心跳與呼吸並促進親子連結；清醒時播放輕柔音樂（B）屬適度感官刺激；保溫箱內以包巾築巢（D）可提供屈曲姿勢與邊界感、增加安全感，皆屬適當措施。本題為反向題，不適當敘述為 C，「絕對避免觸摸或抱起」過度僵化，統整化照護強調的是「適量且有組織的正向觸摸」（如安撫性支托），而非完全剝奪觸覺輸入，過度隔離反而不利發展與依附，故選 C。","統整化照護源自 Als 的協同理論（Synactive Theory），觀察早產兒自律、動作、狀態、注意力四個次系統的穩定訊號與壓力訊號來調整照護。正向支持包括包裹（swaddling）、屈曲擺位、集中護理減少打擾、降低光線噪音。關鍵對比：要避免的是「突然、無組織、過量」刺激，而非「所有」觸摸；適當的支托性觸摸與袋鼠式護理正是統整化照護的核心工具。",[24,26,29,31],{"term":25,"count":10},"袋鼠式護理",{"term":27,"count":28},"早產兒統整化照護",1,{"term":30,"count":28},"協同理論",{"term":32,"count":28},"類子宮環境擺位",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-036","以「斯佛門-安德生計分法」（Silverman Anderson score）評估早產兒呼吸窘迫情況，下列敘述何者正確？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-032","有關新生兒身體評估結果，下列何者需進一步追蹤評估？",32,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-maternal-pediatric-026","兒童急救的生命之鏈（pediatric chain of survival）有五個環環相扣的重要程序，第一步驟為何？",26,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-024","有關子宮頸癌的高危險因子，下列何者最不適當？",24,115,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-1-maternal-pediatric-018","有關母乳與配方奶差異的敘述，下列何者正確？",18,107,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-108-1-maternal-pediatric-052","有關自閉症的護理指導，下列何者最適當？",52,108,"2026-09-04",1788510745554]