[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-產兒科護理學-050","nurse-114-2-maternal-pediatric-050",114,2,50,"張小弟，9 歲，確診為裘馨氏假肥大性肌失養症（Duchenne’s pseudohy-pertrophic muscular dystrophy），有關護理指導，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵家屬因應疾病發展彈性調整家中環境","鼓勵張小弟參與高密度游泳活動，以增強肌肉張力","每日為張小弟進行胸部物理治療，降低罹患肺炎的風險","進行飲食計畫，控制體重以減少負荷","B",null,[],"本題考點在於裘馨氏肌失養症的疾病進程與活動安全指導。此症為 X 染色體性聯隱性遺傳，dystrophin 缺乏使肌肉進行性退化，肌力隨年齡下降，過度或高強度運動不僅無法增強肌張力，反而加速肌肉損傷與疲乏。本題為反向題，最不適當者為 B：鼓勵高密度游泳「增強肌肉張力」是錯誤觀念，應改為溫和、不過度的活動維持關節活動度。A 適當，隨疾病進展彈性調整居家環境（如輪椅動線）符合漸進失能需求；C 適當，每日胸部物理治療可清除分泌物、降低呼吸肌無力導致的肺炎風險；D 適當，控制體重可減輕虛弱肌肉與心肺負荷。",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？",6,1783840798014]