[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-106-1-產兒科護理學-080","nurse-106-1-maternal-pediatric-080",106,1,80,"小玲，1 歲，診斷為單純性熱性痙攣（simple febrile convulsion），小玲的媽媽詢問護理師：「小玲未來是否會再發作？」有關護理師的回答，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"小玲的痙攣與發燒有關，只要避免其發燒，就較不會發作","小玲的痙攣與年齡有關，只要年紀大於 2 歲，就較不會發作","小玲的痙攣與腦波有關，只要腦波檢查正常，以後就不會發作","小玲的痙攣與缺氧有關，只要維持呼吸道通暢，就較不會發作","A",null,[],"本題考點為單純性熱性痙攣的再發衛教。依單純性熱性痙攣好發於6個月至5歲幼兒、與發燒過程體溫快速上升有關的特性,護理師的回答應扣緊「痙攣與發燒有關,妥善控制與避免發燒可降低再發機會」,故A較適當。B將原因歸於年齡且以2歲為界不正確,好發年齡上限約5至6歲;C說腦波正常以後就不會發作屬過度保證,腦波非決定再發的依據;D將原因歸於缺氧並以維持呼吸道通暢即可預防,混淆了熱性痙攣與缺氧性抽搐的機轉。單純性熱性痙攣以發燒為誘因,故控制體溫是衛教核心。","單純性熱性痙攣為全身性、持續小於15分鐘、24小時內不再發作,且無中樞神經感染或代謝異常;預後良好,多數不會演變為癲癇。再發與初次發作年齡小、有家族史、體溫上升速度快等有關。衛教重點為發燒時的照護與適度退燒、記錄發作情形,不需長期抗癲癇藥。過度保證「以後絕不再發」並不恰當,應誠實說明仍可能再發但通常屬良性。",[24,27,29,31],{"term":25,"count":26},"單純性熱性痙攣",2,{"term":28,"count":26},"良性預後",{"term":30,"count":10},"發燒誘因",{"term":32,"count":10},"好發年齡",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":10,"year":9,"session":26},"nurse-106-2-maternal-pediatric-001","生產是家庭關係重新開始的重要一環，下列何項醫療院所的政策有助於此理念的推展？",{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-107-1-maternal-pediatric-017","林女士，29 歲，大陸瀋陽人，G 1 P 1 ，先生為臺商，結婚後來臺居住，產後第一天她抱怨沒有奶水無法餵奶，懷孕生產讓自己變胖變醜，先生過兩天後要回大陸工作，必須獨自一人照顧新生兒而顯擔憂。護理師對其產後調適的評估，下列護理問題何者較不恰當？",17,107,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-107-2-maternal-pediatric-031","有關子宮外孕之敘述，下列何者錯誤？",31,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-108-2-maternal-pediatric-069","下列那一項胸腔物理治療是利用重力原理，使肺內的分泌物，易流至較大的支氣管，以利痰液排除？",69,108,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-1-maternal-pediatric-033","李女士產後 8 小時，惡露呈鮮紅色，1 小時內即浸溼整片產墊，下列護理措施何者錯誤？",33,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-maternal-pediatric-067","有關尚未接受治療之缺鐵性貧血（iron deficiency anemia）及地中海型貧血（thalassemia）病童血液檢驗之敘述，下列何者正確？",67,111,"2026-09-04",1788510694514]