[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-032":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-113-1-產兒科護理學-032","nurse-113-1-maternal-pediatric-032",113,1,32,"小亮，出生後診斷為腭裂（cleft palate），1歲時入院行腭裂修補術，有關術後約束之護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"木乃伊約束法","手臂約束法","手肘約束法","背心式約束法","C",null,[],"本題考點在於腭裂(cleft palate)修補術後的約束選擇。依術後照護原則,修補處在口腔上顎,須防止幼兒手指或物品放入口中破壞縫線,同時保留最大活動度,故採手肘約束法(elbow restraint,又稱no-no約束),限制手肘彎曲使手無法碰觸口腔,選C。A錯:木乃伊約束是全身包裹,用於短暫頭頸部治療如頭皮靜脈注射,約束過度不適合長時間術後。B錯:手臂約束(整臂固定)過度限制且非唇腭裂常規。D錯:背心式約束用於防止跌床或體位固定,無法阻止手碰口部。","唇裂(cleft lip)與腭裂術後皆常用手肘約束,目的是讓上肢仍可活動但無法屈肘觸及臉部傷口,兩手輪流每2小時鬆綁一次並評估循環。腭裂修補後避免湯匙、吸管、硬物入口,以免撐開縫合的軟顎。記憶:保護口腔傷口=手肘約束(no-no),既護傷口又不過度限制。",[24,27,29,31],{"term":25,"count":26},"手肘約束",3,{"term":28,"count":10},"腭裂修補術",{"term":30,"count":10},"術後傷口保護",{"term":32,"count":10},"兒童約束法",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-033","有關早產兒發展性照護的敘述，下列何者正確？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-113-3-maternal-pediatric-029","小華會把樂高分享給小美，兩人會交換玩具，但各玩各的，是屬於兒童遊戲發展那一個階段？",29,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-023","有關妊娠高血壓婦女在預防產後大出血之護理措施，下列何者最不適當？",23,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-021","黃女士，G 2 P 2 ，陰道產後 6 小時尚未排尿，她表示：「我從生產到現在只喝一點水，沒什麼尿液感」，下列護理處置何者最適宜？",21,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-065","有關病童死亡的護理措施，下列何者正確？",65,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-019","有關剖腹產術後照護之敘述，下列何者錯誤？",19,108,"2026-09-04",1788510750908]