[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-080":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-110-2-產兒科護理學-080","nurse-110-2-maternal-pediatric-080",110,2,80,"王小妹，8 個月大，被診斷為熱性痙攣（febrile convulsion），下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"熱性痙攣通常會續發為癲癇的主要原因","發作時呈現全身性或局部性痙攣型態","痙攣發作時間通常持續 1 小時以上","熱性痙攣發作後，常造成肢體偏癱或智能障礙等後遺症","B",null,[],"本題考點是嬰幼兒熱性痙攣的臨床特徵與預後。考點在於熱性痙攣多為良性、與發燒相關的短暫抽搐。選項B「發作時呈全身性或局部性痙攣型態」正確，符合其臨床可見的抽搐表現，故為答案。A「熱性痙攣通常會續發為癲癇的主要原因」錯誤，單純型熱性痙攣續發癲癇的比率很低，並非主要原因；C「發作通常持續1小時以上」錯誤，單純型多在數分鐘內、通常小於15分鐘即自行停止；D「發作後常造成肢體偏癱或智能障礙後遺症」錯誤，單純型熱性痙攣預後良好，一般不留神經後遺症。故唯B正確描述其發作型態。","熱性痙攣好發6個月至5歲，與體溫快速上升相關。單純型:全身性、持續\u003C15分鐘、24小時內不復發、無局部神經缺損，預後佳;複雜型:局部性、時間長或反覆，需進一步評估。多數不演變為癲癇，僅少數合併危險因子者風險略升。照護重點在退燒與發作時的安全防護。記憶:小孩發燒抽一下、短、良性、不留後遺症。可連結:與腦膜炎、癲癇的鑑別;發燒處置與家屬衛教安撫。",[24,27,29,32],{"term":25,"count":26},"熱性痙攣",7,{"term":28,"count":10},"良性預後",{"term":30,"count":31},"單純型與複雜型",1,{"term":33,"count":31},"發作型態",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":31,"year":38,"session":31},"nurse-111-1-maternal-pediatric-001","有關醫療院所提供以家庭為中心照護之策略，下列敘述何者錯誤？",111,{"webId":40,"stem":41,"number":42,"year":38,"session":10},"nurse-111-2-maternal-pediatric-017","使用催產素催生的待產婦女，當發生下列何種情況仍可持續使用催產素促進產程？",17,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-112-1-maternal-pediatric-031","一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",31,112,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-113-1-maternal-pediatric-019","下列何者為評估男性新生兒皮膚飽和度的最佳部位？",19,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-023","有關妊娠高血壓婦女在預防產後大出血之護理措施，下列何者最不適當？",23,114,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-106-1-maternal-pediatric-017","林女士因破水進入產房待產，護理師協助陰道內診，摸到胎頭前囟門，胎頭高度在-3。胎頭高度在-3 意義為何？",106,"2026-09-04",1788510730404]