[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-1-產兒科護理學-052","nurse-108-1-maternal-pediatric-052",108,1,52,"有關自閉症的護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"教養方式為自閉症之主要導因，持續與父母親討論教養策略","強調按時服藥的必要性，以能治癒自閉症","儘速提供多元有變化的新情境刺激，發展其潛能","提供正向行為治療，以增強建立適當的行為","D",null,[],"本題考點在自閉症的行為介入原則。自閉症屬神經發展障礙，處置核心是應用行為分析（ABA）與正向行為支持，以增強並建立適當行為、逐步塑造社會與溝通能力，故提供正向行為治療正確，選 D。選項 A 錯在把教養方式當成主要導因，自閉症成因為腦部神經發展異常，非父母教養不當，此說法會造成家長不必要的自責。選項 B 錯在藥物無法治癒自閉症，僅能緩解共病的過動、焦慮或攻擊行為。選項 C 錯在自閉症孩童對環境變化敏感、需要結構化與可預期的情境，快速給予多元多變的新刺激反而引發焦慮與行為問題，與其特質相反。","自閉症三大核心表現：社會互動缺損、溝通障礙、侷限重複的行為與興趣。護理原則可用「結構、一致、可預期」三詞記憶——固定作息、視覺提示、單一步驟指令。正向行為支持強調增強想要的行為而非懲罰不要的行為。可連結概念：ABA、結構化教學（TEACCH）、感覺統合。與過動症（ADHD）對比，ADHD 核心是注意力與衝動控制，處置常用中樞興奮劑，兩者介入策略不同。",[24,27,30,32],{"term":25,"count":26},"結構化環境",4,{"term":28,"count":29},"自閉症",3,{"term":31,"count":10},"正向行為支持",{"term":33,"count":10},"應用行為分析 ABA",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-053","玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",53,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"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？",69,2,{"webId":45,"stem":46,"number":29,"year":47,"session":43},"nurse-109-2-maternal-pediatric-003","鄭女士因月經過期 8 週而至門診驗孕，她已有一對雙胞胎子女，曾於懷孕 8 週時胚胎因無胎心音而入院接受中止妊娠術，此次門診確認鄭女士已懷孕，因此其孕產史紀錄，下列何項正確？",109,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-110-2-maternal-pediatric-041","有關 3 歲兒童的心肺復甦術之敘述，下列何者正確？",41,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-005","陳女士，懷孕 32 週，預計採陰道生產。下列何項為最有效的伸展會陰部肌肉之產前運動？",5,112,{"webId":59,"stem":60,"number":61,"year":57,"session":29},"nurse-112-3-maternal-pediatric-039","有關罹患急性會厭炎（acute epiglottitis）病童的臨床表徵，下列何者錯誤？",39,"2026-09-04",1788510710650]