[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-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-107-1-產兒科護理學-080","nurse-107-1-maternal-pediatric-080",107,1,80,"有關妥瑞氏症候群（Tourette's syndrome），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"發病年齡多在幼兒期","會出現重複不自主的肢體動作","易造成腦部傷害及學習困難","因興奮劑及腦炎而引發症狀","B",null,[],"本題考點在於妥瑞氏症候群（Tourette's syndrome）的臨床特徵。依其定義，妥瑞氏症以重複、突發、不自主的動作型抽動（motor tics）合併聲語型抽動為核心表現，故 B 敘述正確，選 B。A 錯：發病多在學齡期兒童（約六、七歲），並非嬰幼兒期。C 錯：妥瑞氏症不會造成腦部損傷，患者智力多正常，也非必然導致學習困難，症狀常隨青春期後減輕。D 錯：其病因與基底核多巴胺系統功能異常及遺傳有關，並非由興奮劑或腦炎所引發，把病因歸於興奮劑與腦炎屬概念混淆。","妥瑞氏症是一種神經發展性疾病，診斷要件是「多發性動作型抽動」加「至少一種聲語型抽動」、病程超過一年、且發病在十八歲之前。抽動特徵是可短暫壓抑但壓抑後會反彈、在壓力或疲累時加重、睡眠時消失。機轉主流假說指向皮質–紋狀體–視丘–皮質迴路中的多巴胺傳導過度活躍，故治療常用多巴胺受體拮抗劑或 α2 促效劑。臨床上常合併注意力不足過動症與強迫症。要與「舞蹈症」或藥物引起的運動障礙區分：妥瑞的抽動是刻板、可暫時抑制的，且發病在兒童期而非幼兒期，這兩點正是本題錯誤選項的設計焦點。",[24,27,29,31],{"term":25,"count":26},"動作型與聲語型抽動",2,{"term":28,"count":10},"妥瑞氏症候群",{"term":30,"count":10},"基底核多巴胺",{"term":32,"count":10},"學齡期發病",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":10,"year":9,"session":26},"nurse-107-2-maternal-pediatric-001","依我國「人工生殖法」規定，下列何者錯誤？",{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-017","有關待產與生產時姿勢的敘述，下列何者錯誤？",17,108,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-108-2-maternal-pediatric-031","張女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 4 cm，變薄 40%，高度為 0，胎兒監測器顯示如下圖。根據此圖形，下列何者正確？",31,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-109-2-maternal-pediatric-069","小明 3 歲，罹患急性淋巴性白血病，有關接受誘導期化學治療的敘述，下列何者錯誤？",69,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-maternal-pediatric-033","有關孕婦接受 B 群（乙型）鏈球菌篩檢之敘述，下列何者錯誤？",33,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-067","小美，17 歲女性，為 A 型血友病帶因者，到院做遺傳諮詢，下列敘述何者最適當？",67,112,"2026-09-04",1788510704000]