[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-產兒科護理學-080","nurse-110-1-maternal-pediatric-080",110,1,80,"有關兒童腦性麻痺的型態及表徵，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"運動失調型（ataxic）因小腦功能病變而導致平衡和協調障礙","痙攣型（spastic）因錐體徑路病變而肌肉持續性出現高張力","運動困難型（dyskinetic）因錐體外徑路病變而有不自主運動","徐動型（athetoid）因基底核受損而使雙下肢麻痺","D",null,[],"本題考點是腦性麻痺的分型與神經定位,要挑出不適當者。考點在於徐動型屬於錐體外徑路(基底核)受損,表現為緩慢扭轉的不自主運動,而非造成雙下肢麻痺,雙下肢麻痺是痙攣型雙邊麻痺的特徵,故選 D。選項 A 適當,運動失調型源於小腦病變導致平衡與協調障礙;B 適當,痙攣型因錐體徑路病變使肌肉持續高張力;C 適當,運動困難型因錐體外徑路病變出現不自主運動。判斷關鍵在於區分基底核受損表現為不自主運動,而非肢體麻痺。","腦性麻痺依運動障礙型態分類:痙攣型最常見,錐體徑路受損致肌張力增高、剪刀步態;運動困難或徐動型源於基底核等錐體外系統,表現緩慢扭動的不自主運動,情緒激動時加劇、睡眠時消失;運動失調型源於小腦,平衡與協調差、步態不穩。記憶:『錐體徑路→痙攣硬、基底核→徐動扭、小腦→失調晃』。腦性麻痺是非進行性腦傷造成的動作與姿勢障礙,常合併認知、感覺、癲癇問題,照護重採早期復健與多專業團隊。可連結粗大動作功能分級複習。",[24,26,28,30],{"term":25,"count":10},"腦性麻痺分型",{"term":27,"count":10},"基底核與徐動型",{"term":29,"count":10},"錐體外徑路",{"term":31,"count":10},"小腦與運動失調型",[33,37,42,46,51,57],{"webId":34,"stem":35,"number":10,"year":9,"session":36},"nurse-110-2-maternal-pediatric-001","王女士 30 歲，第一次懷孕，詢問有關人性化生產準備，下列護理師的回應何者較不適當？",2,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-111-1-maternal-pediatric-017","陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",17,111,{"webId":43,"stem":44,"number":45,"year":41,"session":36},"nurse-111-2-maternal-pediatric-031","有關妊娠合併糖尿病孕婦預後及其相關檢測的敘述，下列何者正確？",31,{"webId":47,"stem":48,"number":49,"year":50,"session":36},"nurse-112-2-maternal-pediatric-069","小美，5 歲，罹患白血病，正處於引導緩解期，對於此階段的護理照護指導，下列敘述何者錯誤？",69,112,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-113-3-maternal-pediatric-043","3 歲的小萱出現發燒、臉色蒼白、腹痛，經醫師確診為神經母細胞瘤第三期，有關提供父母的護理指導，下列敘述何者不適當？",43,113,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-maternal-pediatric-037","有關腸病毒（enteroviruses infection）護理指導，下列敘述何者最適當？",37,115,"2026-09-04",1788510722364]