[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-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-114-1-產兒科護理學-046","nurse-114-1-maternal-pediatric-046",114,1,46,"莉莉，4個月，此次因唇裂（cleft lip）住院，醫師安排進行唇裂修補術，在手術後的照護，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵採俯臥，以預防呼吸道阻塞","向家屬解釋病童手術後出現不斷吞嚥動作是術後正常的現象","術後疼痛哭鬧，給與安撫奶嘴使用以降低疼痛","須給與適時約束手肘，以避免摩擦臉部影響傷口癒合","D",null,[],"本題考點在於唇裂（cleft lip）修補術後的傷口保護與照護。術後最重要的是保護縫合傷口不被摩擦或抓破，故 D「適時約束手肘（elbow restraint）避免嬰兒手摩擦臉部影響癒合」最適當。A 術後應採「仰臥或側臥」而非俯臥，俯臥會使臉部傷口摩擦床面、且增呼吸道阻塞風險，錯誤。B 術後持續吞嚥動作可能是出血徵象（血液流入咽部），不能當作正常現象忽略，須警覺並評估，錯誤。C 唇裂修補後應「避免」使用安撫奶嘴及吸吮動作，因吸吮牽動會拉扯傷口，錯誤。","唇裂修補術後照護鐵則圍繞「保護縫線」：肘部約束防抓、避免俯臥防摩擦、禁奶嘴\u002F吸吮防張力，改用滴管或特殊奶瓶餵食並清潔縫線。持續吞嚥＝可能傷口滲血的警訊須通報。與顎裂（cleft palate）術後對比：顎裂禁硬物、吸管、湯匙深入口腔。兩者都重在減少傷口張力與感染以求美觀癒合。",[24,27,29,31],{"term":25,"count":26},"傷口保護",2,{"term":28,"count":10},"唇裂修補術",{"term":30,"count":10},"肘部約束",{"term":32,"count":10},"避免吸吮張力",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-047","小敏，8歲，因為長期嚴重便秘而入院檢查，檢查後發現大量大便堆積腸道，欲執行大量灌腸。有關大量灌腸的護理指導，下列敘述何者最不適當？",47,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-043","吳小妹，2 個月大，診斷為先天性甲狀腺功能低下（congenital hypothyroidism），下列護理指導何者最適當？",43,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-maternal-pediatric-037","有關卡介苗建議接種時間，下列敘述何者正確？",37,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-025","新生兒經產道出生，首次呼吸產生之機轉過程，下列敘述何者正確？",25,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-069","張小弟，5 個月大，至健兒門診接受預防注射，下列何種預防注射疫苗適合張小弟注射？",69,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-maternal-pediatric-023","劉女士剖腹產後因身體不適，且寶寶黃疸需住院照光治療而無法一同出院，她覺得自己不是好媽媽。下列何項措施對其親子依附關係的建立較不適當？",23,109,"2026-09-04",1788510758048]