[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-107-2-產兒科護理學-079","nurse-107-2-maternal-pediatric-079",107,2,79,"有關重症肌無力（myasthenia gravis）病童的臨床症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"眼球肌肉受到侵犯而有複視","出現吸吮及吞嚥困難","顏面神經出現麻痺","活動之後症狀會改善","D",null,[],"本題考點在於重症肌無力(myasthenia gravis)的臨床特徵。此病因乙醯膽鹼受體被自體抗體阻斷,神經肌肉傳導效率下降,肌肉「活動後愈疲乏、休息後改善」,故 D「活動之後症狀會改善」錯誤,即為答案。A 眼外肌最早受侵,出現眼瞼下垂與複視,正確。B 延髓支配的肌肉受累時出現吸吮、咀嚼與吞嚥困難,正確。C 顏面肌肉無力使表情減少、呈現面部肌肉麻痺樣外觀,正確。","重症肌無力核心是突觸後膜乙醯膽鹼受體(AChR)被抗體破壞,可用抗膽鹼酯酶藥(如 pyridostigmine)增加突觸間 ACh 濃度改善症狀,並以 Tensilon(edrophonium)測試協助診斷。標誌性特徵是「易疲勞性」與「晨輕暮重」——愈用愈無力、休息後回復,正好與活動後改善相反,是最常被出題的辨識點。需警覺肌無力危象造成的呼吸衰竭。",[24,26,29,31],{"term":25,"count":10},"重症肌無力",{"term":27,"count":28},"乙醯膽鹼受體抗體",1,{"term":30,"count":28},"易疲勞性(晨輕暮重)",{"term":32,"count":28},"眼瞼下垂與複視",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-080","陳小弟，因腦瘤（brain tumor）接受手術，下列護理措施何者錯誤？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-maternal-pediatric-016","吳女士 G 2 P 1 ，她希望生產時能免除會陰切開術，以維持會陰的完整性，有關第二產程的護理措施，下列何者錯誤？",16,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-maternal-pediatric-030","有關新生兒毒性紅斑與膿疱之敘述，下列何者正確？",30,109,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-110-1-maternal-pediatric-068","小凌，16 歲，罹患再生不良性貧血，住院接受抗淋巴球蛋白（ALG）及 cyclosporin 治療，下列護理措施何者較適當？",68,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-032","有關孕婦前置胎盤的症狀敘述，下列何者錯誤？",32,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-066","邱小弟，4 歲，罹患重度主動脈瓣狹窄（Aortic Stenosis, AS），下列敘述何者錯誤？",66,112,"2026-09-04",1788510726463]