[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-111-2-產兒科護理學-077","nurse-111-2-maternal-pediatric-077",111,2,77,"有關兒童罹患妥瑞氏症（Tourette’s disorder）的疾病特徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"通常在 18 歲之前出現抽動病徵","屬於精神心理疾病，會影響未來智能發展","不自主的聲語型抽動相當罕見","動作型抽動最常出現的是聳肩","A",null,[],"本題考點為妥瑞氏症(Tourette's disorder)的疾病特徵。妥瑞氏症的診斷準則之一為抽動症狀在 18 歲之前出現，故 A 敘述正確。B 錯在妥瑞氏症屬神經發展性疾患而非會影響智能發展的精神疾病，多數患者智力正常;C 錯在聲語型抽動(如清喉嚨、發聲)相當常見，並非罕見,是妥瑞氏症診斷的重要特徵之一;D 錯在動作型抽動最常出現的是眨眼等臉部抽動，而非聳肩。考點在於掌握妥瑞氏症「18 歲前發病、合併動作型與聲語型抽動、智力多正常」的診斷特徵，並釐清最常見的抽動型態。","妥瑞氏症診斷需同時具動作型與聲語型抽動、持續超過 1 年、18 歲前發病。抽動可暫時受意志抑制但終究釋放,壓力與疲累會加重。常合併注意力不足過動症(ADHD)與強迫症(OCD)。臉部抽動(眨眼)最早最常見,聲語型抽動並非罕見。",[24,26,28,31],{"term":25,"count":10},"妥瑞氏症",{"term":27,"count":10},"動作型與聲語型抽動",{"term":29,"count":30},"18 歲前發病",1,{"term":32,"count":30},"神經發展性疾患",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-078","小強，7 歲，罹患癲癇，有長期服用抗癲癇藥，包括 Phenytoin(Dilantin)及 Valproic acid(Depakine)，有關藥物護理指導，下列敘述何者錯誤？",78,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-maternal-pediatric-014","王女士，懷孕 41 週，觀察其待產期間的胎心率變化。下列何種現象，需要特別處理？",14,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-028","有關賦權（empowerment）在兒科護理照護的應用，下列敘述何者錯誤？",28,3,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-114-1-maternal-pediatric-026","兒童急救的生命之鏈（pediatric chain of survival）有五個環環相扣的重要程序，第一步驟為何？",26,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-030","王小弟，足月產，疑似左鎖骨骨折，有關其照護，下列敘述何者最適當？",30,115,{"webId":59,"stem":60,"number":41,"year":61,"session":30},"nurse-107-1-maternal-pediatric-014","下列何者為宮縮時胎心率加速之臨床意義？",107,"2026-09-04",1788510739702]