[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-047":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-113-3-產兒科護理學-047","nurse-113-3-maternal-pediatric-047",113,3,47,"有關人工肛門造瘻口之術後護理指導，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"當造瘻口流出大量水樣引流物時，表示功能正常","術後三週內採低渣飲食，減少腸蠕動","術後造瘻口一般外觀應呈深黑色且表面乾燥","乙狀結腸造口糞便多呈液狀","B",null,[],"本題考點在於兒童人工肛門造瘻口（造口）的術後護理指導。較適當為 B：術後三週內採低渣飲食，可減少糞便量與腸蠕動刺激，利於造口癒合，正確。A 錯誤，造口流出大量水樣引流物常反映吸收不足或腸段位置偏高，並非功能正常的表現。C 錯誤，正常造口外觀應呈紅潤、濕潤而有光澤，若呈深黑色且乾燥代表缺血壞死的異常徵象。D 錯誤，乙狀結腸造口位置較遠端、水分已大量吸收，糞便多呈成形固態而非液狀。判斷關鍵在於依造口位置推斷糞便性狀與正常黏膜外觀。","造口糞便性狀依腸段位置而異：越近端（如迴腸造口）水分越多、呈稀水狀且富含消化酶易刺激皮膚；越遠端（如乙狀結腸造口）水分吸收越充分、糞便越成形。健康造口黏膜紅潤濕潤，發黑乾燥代表缺血。低渣飲食可減少造口初期排出量。可連結造口周圍皮膚保護與集便袋更換要點。",[24,27,30,32],{"term":25,"count":26},"低渣飲食",2,{"term":28,"count":29},"人工肛門造口",1,{"term":31,"count":29},"造口位置與糞便性狀",{"term":33,"count":29},"造口黏膜外觀",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-048","7 歲的奇奇罹患腦性麻痺，因基底核和錐體外病變，產生不自主運動，且出現無法控制四肢抖動，尤其影響手部的書寫功能，有關奇奇罹患之腦性麻痺的型態，下列何者正確？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-044","劉小妹， 3 歲，罹患急性淋巴性白血病，經過血液常規檢查發現，白血球： 2,500\u002Fmm 3 ，多型核白血球（segment）： 8%，帶狀白血球（band）：10%，其絕對嗜中性白血球（absolut neutrophil count, ANC）是多少？",44,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-maternal-pediatric-038","為 5 個月大的嬰兒進行呼吸系統的身體檢查與評估時，下列敘述何者最適當？",38,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-maternal-pediatric-056","鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",56,106,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-1-maternal-pediatric-020","下列那項父親行為最無助於與新生兒建立依附關係？",20,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-maternal-pediatric-054","協助病童接受腰椎穿刺檢查過程中，下列護理措施何者不恰當？",54,109,"2026-09-04",1788510753381]