[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-2-產兒科護理學-028","nurse-113-2-maternal-pediatric-028",113,2,28,"有關自閉症（autistic disorder）兒童的照護，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"喜歡身體接觸的感覺，多擁抱可增進人際互動","隨時調整生活常規，培養適應能力","設計變化多端的環境，增加感官刺激","隨時維持安全的環境，防範意外或自我傷害","D",null,[],"本題考點在於自閉症類群障礙兒童的照護原則。自閉症兒童常有社交互動障礙、對環境變化敏感、固著行為與感覺調節異常，照護首重維持安全、結構化且穩定的環境以防範意外與自我傷害，故選 D。A 錯，多數自閉症兒童對身體接觸敏感、抗拒擁抱，強加身體接觸反而造成不適與焦慮。B 錯，自閉症兒童需要「固定、可預期」的生活常規以降低焦慮，隨時調整常規會使其不安並引發行為問題，與其特質相反。C 錯，設計變化多端、過度感官刺激的環境會造成感覺超載，應提供簡化、低刺激、結構化的環境。本題須掌握自閉症照護的核心：結構化、可預期、低刺激、重安全。","自閉症類群障礙（ASD）核心特徵為社交溝通缺損與侷限重複的行為興趣（DSM-5）。照護策略圍繞「結構化教學（如 TEACCH）」：環境與作息固定可預期、以視覺提示輔助、減少突然變動與過度刺激。許多 ASD 兒童有感覺調節異常（觸覺防禦、聽覺過敏），故不宜強迫擁抱或製造嘈雜多變環境。安全維護尤重要，因其對危險認知不足、可能有自傷或衝動行為。記憶法：ASD 照護「三固定一安全」——固定作息、固定環境、固定人員，隨時確保安全；改變要漸進並事先預告。",[24,27,30,32],{"term":25,"count":26},"結構化環境",4,{"term":28,"count":29},"自閉症類群障礙特徵",1,{"term":31,"count":29},"感覺調節異常",{"term":33,"count":29},"安全維護與防自傷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-029","奇奇，2 歲，因為住院而出現分離焦慮，為了協助奇奇宣洩負向情緒，下列何種治療性遊戲較合適？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-maternal-pediatric-025","吳女士，25歲，罹患淋病（gonorrhea），下列產後護理措施何者適當？",25,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-maternal-pediatric-019","檢查新生兒是否有髖關節先天發育不良，其檢查方法何者正確？",19,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-1-maternal-pediatric-067","有關兒童感染人類免疫缺乏病毒（HIV）的症狀，下列何者錯誤？",67,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-maternal-pediatric-031","有關子宮外孕之敘述，下列何者錯誤？",31,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-maternal-pediatric-065","依照衛生福利部疾病管制署 106 年公布之「我國現行兒童預防接種時程」，卡介苗（BCG）之建議接種時間為：",65,108,"2026-09-04",1788510755556]