[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-033":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-033","nurse-113-1-maternal-pediatric-033",113,1,33,"有關早產兒發展性照護的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"提供父母與早產兒皮膚對皮膚的袋鼠式護理","執行治療時，固定早產兒雙臂與腿呈伸展姿勢的寧握護理","採分散護理，以避免早產兒生命徵象不穩定","保持環境明亮，早產兒戴上遮光眼罩以促進視覺發展","A",null,[],"本題考點在於早產兒發展性照護(developmental care)的核心措施。依發展性照護理念,袋鼠式護理(kangaroo care)提供親子肌膚接觸,可穩定體溫、心跳、呼吸並促進親子依附與神經行為發展,故A正確。B錯:寧握(facilitated tucking)應協助早產兒維持屈曲、蜷縮如子宮內的姿勢,而非伸展。C錯:應採集中護理(cluster care),集中進行處置以減少干擾、維持生命徵象穩定,分散護理反而頻繁擾動個案。D錯:發展性照護強調降低光線與噪音、模擬子宮環境,不應保持明亮,遮光眼罩用於光照治療而非促進視覺。","發展性照護四大支柱:減光減噪、集中護理、維持屈曲擺位(nesting\u002F寧握)、袋鼠式護理與親子參與。目的是模擬子宮、減少壓力荷爾蒙、促進腦部發育。cluster care與minimal handling是關鍵字。對比記憶:早產兒要「暗、靜、蜷、抱在一起」,凡選項出現明亮、伸展、分散護理多為錯誤。",[24,27,29,31],{"term":25,"count":26},"袋鼠式護理",3,{"term":28,"count":26},"集中護理",{"term":30,"count":10},"發展性照護",{"term":32,"count":10},"屈曲擺位寧握",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-034","小紅，12歲，罹患急性骨髓性白血病，治療後復發，目前處於疾病末期，她向父母發脾氣說：「為什麼生病的人是我，都是你們沒有把我照顧好！」，下列照護措施何者最適合？",34,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-113-3-maternal-pediatric-030","關於 9 歲學齡期兒童的發展及生長，下列敘述何者最適當？",30,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-024","有關子宮內膜癌婦女接受全子宮切除術及放射線治療之護理，下列敘述何者不適當？",24,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-022","有關奶水不足的主要原因，下列何者錯誤？",22,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-066","有關我國小兒麻痺的傳染及預防方法，下列敘述何者正確？",66,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-020","有關產後生理變化的敘述，下列何者正確？",20,108,"2026-09-04",1788510750924]