[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-113-2-產兒科護理學-050","nurse-113-2-maternal-pediatric-050",113,2,50,"有關癲癇兒童接受生酮飲食療法，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"提供高脂肪、高蛋白及低醣飲食","需要增加液體攝取，有助於酮的生成","酮（ketones）可製造較多的穩定性神經傳導物質，具有鎮定效果","多數用於抗癲癇藥物治療效果良好的兒童","C",null,[],"本題考點在於生酮飲食(ketogenic diet)治療頑固型癲癇的機轉與適應症。生酮飲食以高脂肪、低醣、適量蛋白質誘導體內產生酮體作為腦部能量來源。C 正確:酮體代謝會改變腦內神經傳導物質平衡,提升 GABA 等抑制性傳導、產生穩定與鎮定效果而減少癲癇放電,故為正確答案。A 錯誤:配方是高脂、「低蛋白或適量蛋白」與低醣,寫「高蛋白」錯誤,蛋白過高會干擾酮體生成。B 錯誤:須「限制」液體攝取以維持酮症,過多水分會稀釋酮體,增加液體並非助酮生成。D 錯誤:生酮飲食主要用於「藥物治療效果不佳」的頑固型癲癇,而非藥效良好者。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840796581]