[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-109-1-產兒科護理學-080","nurse-109-1-maternal-pediatric-080",109,1,80,"有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"由濾過性病毒經由口或飛沫傳染，侵犯脊髓灰白質","治療目標在增進運動功能和預防殘障加重","吞嚥困難時，協助頭部維持正中位置，將食物放在舌頭前方，以利吞嚥","病童主要問題為肢體障礙，大部分兒童的智能是屬於正常的","B",null,[],"本題考點在於腦性麻痺（cerebral palsy, CP）的定義與照護原則。依其病理，CP 是發育中腦部非進行性損傷所致的運動與姿勢障礙，無法根治，照護目標在增進運動功能、預防攣縮與殘障惡化、促進最大自理能力，故 B 正確。A 錯，描述的是由濾過性病毒侵犯脊髓灰白質的小兒麻痺（poliomyelitis），並非 CP。C 錯，吞嚥困難時應將食物放在舌頭中後段（健側後方）並協助頭部維持正中稍前傾以利安全吞嚥，放在舌頭前方不利吞入。D 錯，CP 病童常合併智能障礙、癲癇、視聽與語言問題，並非大部分智能正常。故正確為 B。","定義關鍵字：腦性麻痺＝「非進行性」腦傷造成的動作與姿勢障礙，成因多在產前、周產期缺氧或早產。因無法治癒，復健目標是功能最佳化與預防續發性攣縮、脫臼。常見合併症包含智能障礙、癲癇、感覺與溝通障礙，故不可假設智能正常。餵食安全重點是姿勢擺位與食物放置位置，避免嗆咳吸入。與小兒麻痺（下運動神經元、脊髓灰白質受侵）為不同疾病。",[24,26,28,30,32],{"term":25,"count":10},"腦性麻痺定義",{"term":27,"count":10},"非進行性腦部損傷",{"term":29,"count":10},"復健目標增進功能預防殘障",{"term":31,"count":10},"常合併智能障礙",{"term":33,"count":10},"與小兒麻痺區分",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":10,"year":9,"session":38},"nurse-109-2-maternal-pediatric-001","護理師於婦女產後經由電話協助母親解決哺乳問題，屬於下列何種角色？",2,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",17,110,{"webId":45,"stem":46,"number":47,"year":43,"session":38},"nurse-110-2-maternal-pediatric-031","王女士，懷孕 32 週，突然發生陰道出血而入院，醫囑住院安胎。評估個案未覺腹痛，出血呈鮮紅色、量中。護理師的處置與指導，下列何者錯誤？",31,{"webId":49,"stem":50,"number":51,"year":52,"session":38},"nurse-111-2-maternal-pediatric-069","有關腸病毒的預防與環境消毒，下列何者正確？",69,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-maternal-pediatric-033","汪小弟為 29 週又 5 天出生的早產兒，體重 1,310 公克，有關各系統的生理特徵，下列敘述何者正確？",33,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-maternal-pediatric-027","有關兒童遭受虐待的護理處置，下列敘述何者錯誤？",27,114,"2026-09-04",1788510713906]