[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-1-產兒科護理學-025","nurse-113-1-maternal-pediatric-025",113,1,25,"王女士罹患梅毒，王女士表示先生如果知道了，他會失去先生，不停掩面哭泣，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"告知王女士切勿隱瞞，因先生可能已感染，請他立即連絡先生到院檢查","衛教將以抗生素進行治療，立即協助施打cefazolin","告知王女士哭泣無法解決問題，請王女士堅強面對","傾聽王女士的不安與擔憂，鼓勵其與先生共同面對，接受治療","D",null,[],"本題考點在於梅毒孕婦面臨情緒危機與伴侶關係擔憂時的治療性溝通與護理原則。此案例病人因害怕失去先生而掩面哭泣，護理重點是先接住其情緒、建立信任，再協助面對與治療，故 D「傾聽王女士的不安與擔憂，鼓勵其與先生共同面對、接受治療」最適當，兼顧情緒支持、性伴侶共同治療與治療配合三個面向。A「告知切勿隱瞞、請她立即連絡先生到院」語氣命令、忽略當下情緒，且越俎代庖處理夫妻關係，不當。B「立即協助施打 cefazolin」用藥錯誤，梅毒首選為 penicillin（青黴素）而非 cefazolin，且未回應情緒。C「告知哭泣無法解決問題、請她堅強」屬否定情緒、缺乏同理，違反治療性溝通。故正解為 D。","溝通與治療延伸：面對情緒激動的病人，治療性溝通強調同理傾聽、接納感受、不批判、不急著給指令，待情緒穩定再共同討論解決方向。梅毒屬性傳染病，性伴侶須同時篩檢與治療以避免再感染（乒乓感染），故鼓勵『與先生共同面對』兼顧了醫療必要性與心理支持。藥物方面，梅毒的首選治療是 penicillin G，對青黴素過敏者才考慮替代藥物；cefazolin 並非梅毒標準用藥。妊娠合併梅毒還須注意先天性梅毒的母嬰垂直感染風險，故及早規則治療對母胎皆重要。",[24,26,28,30],{"term":25,"count":10},"治療性溝通與同理傾聽",{"term":27,"count":10},"梅毒性伴侶共同治療",{"term":29,"count":10},"penicillin為梅毒首選用藥",{"term":31,"count":10},"情緒支持與治療配合",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-026","小花因誤食鐵劑而送醫治療，指導小花媽媽之護理措施，下列敘述何者最適當？",26,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-022","待產婦女於生產過程中發生肩難產（shoulder dystocia）時，下列處置何者為宜？①教導待產婦快速屈曲大腿靠向腹部 ②於子宮底施壓 ③加強子宮收縮藥劑量 ④注意胎心音變化",22,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-016","陳女士，產後第三天，早上睡覺起來向護理師表示：「我的乳房變硬，摸起來熱熱的，但不會痛。」下列護理措施何者最適當？",16,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-014","胎兒以面產式，胎頭完全仰伸進入骨盆時，呈現的徑線為下列何者？",14,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-058","強強，1 歲，熟睡時，頭部不慎被熱湯燙傷，以嬰兒九分法計算其燙傷範圍為何？",58,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-012","陳女士，G 1 P 0 ，因規則陣痛而入產房待產，胎位為 ROA，子宮頸口開 1 cm，station=0，下列何者為 station 0？",12,108,"2026-09-04",1788510750860]