[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-045":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":26},"nurse-112-3-產兒科護理學-045","nurse-112-3-maternal-pediatric-045",112,3,45,"有關尿道下裂（hypospadias）病童術後之敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"術後鼓勵病童常下床活動，可促進傷口癒合速度","術後數天內尿液由陰莖以外滲漏，為正常現象","鼓勵病童跨坐可固定傷口減輕疼痛","將導尿管固定於腹部或腿上以降低拉扯傷口","D",null,[],"本題考點在於尿道下裂矯正術後的傷口與導尿管照護。手術重建新尿道後，重點是保護吻合口、維持尿流引流通暢並避免拉扯。導尿管（支架管）應妥善固定於腹部或大腿，以降低導管移動對傷口的牽扯，故 D 最適當。A 錯在術後應限制劇烈活動與跨坐、避免壓迫傷口，而非鼓勵常下床活動；B 錯在新尿道以外處滲尿代表可能出現廔管或吻合不良，並非正常現象；C 錯在鼓勵跨坐會直接壓迫會陰傷口、增加疼痛與裂開風險，故正解為 D。","術後常見併發症為尿道皮膚廔管與尿道狹窄，故須觀察尿流是否分岔、滲漏與排尿是否順暢。照護重點：維持導尿管引流通暢與固定、避免壓迫（禁跨坐騎乘玩具）、依醫囑止痛與抗痙攣（減少膀胱痙攣）、注意傷口感染徵象。固定導管方向多朝上腹以順應尿道走向並減少張力。",[24,27,29,31],{"term":25,"count":26},"尿道下裂術後照護",1,{"term":28,"count":26},"導尿管固定避免牽扯",{"term":30,"count":26},"尿道皮膚廔管併發症",{"term":32,"count":26},"避免壓迫會陰傷口",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-046","有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-042","有關扁桃腺切除（tonsillectomy）術後飲食之護理指導，下列敘述何者適當？",42,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-maternal-pediatric-036","簡小妹為35週出生的早產兒，體重2,400公克，被診斷有高膽紅素血症（hyperbilirubinemia），今抽血所得總膽紅素值（total bilirubin）為26 mg\u002FdL，有關換血治療的護理，下列敘述何者正確？",36,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-034","黃太太產後到嬰兒室探視因病理性黃疸接受照光治療的黃小弟，下列敘述何者正確？",34,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-maternal-pediatric-028","新生兒先天性代謝異常疾病中，下列何者不是屬於體染色體隱性遺傳疾病？",28,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-maternal-pediatric-062","有關早產兒在保溫箱中的感官刺激，下列護理措施何者正確？",62,108,"2026-09-04",1788510745666]