[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-079":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":10},"nurse-111-1-產兒科護理學-079","nurse-111-1-maternal-pediatric-079",111,1,79,"有關成骨不全（osteogenesis imperfecta）病變的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"鼓勵儘量固定不動以避免多重骨折","使用雙磷化合物降低骨折頻率","固定不動時宜在健側多做運動","可做骨髓內固定以增強骨的強度","A",null,[],"本題考點為成骨不全症（osteogenesis imperfecta）的護理措施，題目要選「錯誤」者。此症因第一型膠原蛋白缺陷使骨骼脆弱易折，照護核心是在保護中維持適度活動，因為長期固定不動會加速廢用性骨質流失、反而更易骨折。依此原則，A 鼓勵儘量固定不動以避免骨折，恰與需維持活動、預防骨質疏鬆的原則相反，故選 A。B 正確，雙磷酸鹽可抑制蝕骨細胞、增加骨密度、降低骨折頻率。C 正確，固定期間於健側適度運動可維持肌力與骨量。D 正確，骨髓內固定（如置入髓內釘）可強化長骨支撐力。","成骨不全屬先天性膠原蛋白合成異常，臨床特徵包括藍色鞏膜、易骨折、聽力障礙與牙齒發育不全。骨骼健康遵循 Wolff 定律：骨頭依承受的力學負荷重塑，適度負重刺激造骨、廢用則加速吸收，故完全制動只會惡化骨質疏鬆、形成骨折惡性循環。藥物以雙磷酸鹽（bisphosphonate）抑制蝕骨細胞活性為主軸。可連結生長板與長骨結構、髓內釘（telescoping rod）隨兒童生長延伸的設計。記憶重點：脆骨照護是「小心地動」而非「完全不動」。",[24,26,28,30,32],{"term":25,"count":10},"成骨不全症",{"term":27,"count":10},"第一型膠原蛋白缺陷",{"term":29,"count":10},"廢用性骨質流失",{"term":31,"count":10},"雙磷酸鹽",{"term":33,"count":10},"Wolff 定律",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-080","張小妹，10 歲，罹患腦膜炎，出現顱內壓增高（Increased intracranial pressure, IICP），下列護理措施何者不適當？",80,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-maternal-pediatric-016","第一產程活動期的待產婦，每 3 分鐘宮縮 1 次，每次持續 45 秒，個案在宮縮的休息期，胎心率為 90 bpm，下列何項護理措施較適當？",16,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-maternal-pediatric-030","有關新生兒篩檢的檢體採集方式，下列何者正確？",30,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-maternal-pediatric-048","小妍，14 歲，被診斷為脊柱側彎（scoliosis），有關疾病特性和臨床表徵，下列敘述何者錯誤？",48,113,{"webId":55,"stem":56,"number":48,"year":57,"session":10},"nurse-115-1-maternal-pediatric-002","有關妊娠期間孕婦血液組成的變化，下列敘述何者正確？",115,{"webId":59,"stem":60,"number":42,"year":61,"session":48},"nurse-106-2-maternal-pediatric-016","產婦於第三產程後，依醫囑施打宮縮藥物（Methergine ○ R , Ergonovine）。護理師於下列何種情況需停止給藥？",106,"2026-09-04",1788510736089]