[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-113-1-產兒科護理學-049","nurse-113-1-maternal-pediatric-049",113,1,49,"小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵加強費力的活動，有助改善肌肉力量","若出現複視情形，需預防跌倒","觀察是否有呼吸困難或痰液不易咳出情形","眼瞼下垂是最早出現的症狀","A",null,[],"本題考點在於重症肌無力(myasthenia gravis)的活動與安全照護,屬反向題,選不適當者。錯誤敘述為A:重症肌無力的病理是神經肌肉接合處乙醯膽鹼受體受阻,肌肉「越用越無力」(易疲勞性肌無力),過度費力活動只會加速肌肉耗竭,而非改善肌力,故A不適當,選A。B正確:複視是常見眼肌症狀,會影響視覺與平衡,須預防跌倒。C正確:須警覺呼吸肌無力導致呼吸困難、痰液不易咳出(肌無力危象風險),密切觀察。D正確:眼瞼下垂(ptosis)與複視常是最早出現的症狀。辨識關鍵在「越用越無力」故不宜加強費力活動。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840796063]