[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-046":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-046","nurse-113-1-maternal-pediatric-046",113,1,46,"小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"保守療法應採低渣、高熱量、高蛋白飲食","手術前需採肥皂水進行腸道清潔灌腸","術後若有造瘻口腫脹情形，則是異常現象，須立即通報醫師","結腸造口的黏膜並無神經，且會比周圍皮膚低","A",null,[],"本題考點在於先天性巨結腸症(Hirschsprung disease)的飲食與手術照護。依保守療法營養原則,因慢性便秘與腸道排空障礙,宜採低渣(減少糞便量)、高熱量、高蛋白飲食以維持營養並減少腸道負擔,故A正確。B錯:術前腸道準備禁用肥皂水灌腸,因肥皂水為高張且刺激,對脆弱腸壁危險,應以等張生理食鹽水灌腸。C錯:造瘻口術後輕微腫脹屬正常現象,不需立即通報;真正異常是造口變黑、發紫(缺血壞死)。D錯:結腸造口黏膜無痛覺神經(無神經無誤),但正常造口應略高於周圍皮膚且呈紅潤,而非比皮膚低。辨識關鍵在低渣高熱量高蛋白飲食。","巨結腸症因遠端腸壁神經節細胞缺失(aganglionosis),病段無蠕動致近端擴張、糞便滯留。診斷靠直腸切片(神經節缺失)。手術切除無神經節腸段(如Soave、Swenson術式)。灌腸一律用等張食鹽水,避免清水或肥皂水造成水中毒或黏膜傷害。正常腸造口特徵:紅潤、濕潤、略突出、無痛。",[24,27,29,31],{"term":25,"count":26},"先天性巨結腸症",2,{"term":28,"count":10},"低渣高蛋白飲食",{"term":30,"count":10},"等張食鹽水灌腸",{"term":32,"count":10},"腸造口評估",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-047","有關兒童急性腹瀉時，下列護理處置何者最適當？",47,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-043","3 歲的小萱出現發燒、臉色蒼白、腹痛，經醫師確診為神經母細胞瘤第三期，有關提供父母的護理指導，下列敘述何者不適當？",43,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-037","小禹，4 歲，罹患腸病毒，現預計出院返家照護，護理師給予父母的居家照護指導，下列何者不適當？",37,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-035","王女士，52 歲，最近感到下腹部有沉重感，診斷為第一度的子宮脫垂，此與下列何種骨盆腔韌帶無力有關？",35,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-079","王小弟，4 週大，因幽門狹窄（pyloric stenosis）接受幽門切開術（pyloromyotomy）。下列有關護理措施之敘述，何者錯誤？",79,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-maternal-pediatric-033","有關前置胎盤住院治療的護理措施，下列何者錯誤？",33,108,"2026-09-04",1788510751032]