[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-1-產兒科護理學-050","nurse-115-1-maternal-pediatric-050",115,1,50,"有關腦性麻痺兒童之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"長時間的腦部缺氧，是出生前和生產時最常發生的致病原因","智能障礙為主要發展問題，應於學會溝通後開始接受語言訓練","屬於非進行式的運動功能障礙","身體特徵為伸展反射、深層肌腱反射及肌肉張力增加","B",null,[],"本題考點在腦性麻痺的本質與早期介入原則。腦性麻痺的核心問題是動作與姿勢控制障礙，並非以智能障礙為主要問題，且語言與溝通訓練屬於早期療育的一環，應在確立診斷後及早開始，而非等到孩子學會溝通才進行，故 B 敘述錯誤。A 正確，出生前與生產過程中長時間腦部缺氧是常見致病原因。C 正確，其腦部病灶不再擴大，屬非進行性的運動功能障礙。D 正確，痙攣型患童常見伸展反射與深層肌腱反射增強、肌肉張力升高。","腦性麻痺依動作型態分為痙攣型、動作失調型、肌張力不全或不隨意動作型與混合型，痙攣型最常見，特徵為剪刀式步態、關節攣縮風險與持續存在的原始反射。早期警訊包括原始反射該消失而未消失、動作里程碑延遲、肌張力異常與餵食困難。照護核心是跨團隊早期療育，包含物理、職能與語言治療、擺位與副木、營養與吞嚥安全，以及家庭支持。可連結原始反射消失時程與發展篩檢工具一併複習。",[24,27,29,31],{"term":25,"count":26},"腦性麻痺",6,{"term":28,"count":10},"非進行性運動功能障礙",{"term":30,"count":10},"痙攣型肌張力增加",{"term":32,"count":10},"早期療育與語言訓練",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":10,"year":9,"session":37},"nurse-115-2-maternal-pediatric-001","有關以實證為基礎的低風險婦女之生產照護原則，下列何者不適當？",2,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-047","下列為 2 歲幼兒滴耳藥的護理步驟，那一個環節出現錯誤？",47,106,{"webId":44,"stem":45,"number":46,"year":42,"session":37},"nurse-106-2-maternal-pediatric-061","有關兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）的臨床表徵，下列敘述何者正確？",61,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-019","下列何者為母乳哺餵的禁忌？",19,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,109,{"webId":58,"stem":59,"number":60,"year":61,"session":37},"nurse-110-2-maternal-pediatric-017","蔡女士第一胎，子宮收縮每 2 分鐘一次，每次持續 60 秒，收縮強度為中度，子宮頸口開 8 公分，突然自然破水，羊水呈棕綠色，無晚期減速或變異性減速的情形。此時最優先的護理措施為何？",17,110,"2026-08-06",1787299089650]