[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-產兒科護理學-080","nurse-112-1-maternal-pediatric-080",112,1,80,"李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"不自主的扭動","伸展反射增加","肌腱反射降低","跨大步伐行走","B",null,[],"本題考點為痙攣型腦性麻痺（spastic CP）的臨床表徵。此型因上運動神經元受損，錐體徑路病變導致肌張力增高。正解 B：伸展（牽張）反射增加，表現為肌張力亢進與反射過強。A 錯，不自主扭動屬徐動型（athetoid\u002Fdyskinetic）CP 的特徵；C 錯，痙攣型的肌腱反射是增強而非降低；D 錯，痙攣型常見剪刀式步態與尖足行走，而非跨大步伐，故選 B。","腦性麻痺分型：痙攣型（最常見，上運動神經元／錐體系病變）→肌張力↑、深部肌腱反射亢進、陣攣、剪刀腳、尖足；徐動型（basal ganglia）→不自主扭動；運動失調型（cerebellum）→平衡協調差、寬底步態。記憶：痙攣＝硬（張力高、反射強、剪刀步）；徐動＝動（不自主）；失調＝晃（協調差）。",[24,26,28,30],{"term":25,"count":10},"痙攣型腦性麻痺",{"term":27,"count":10},"上運動神經元病變",{"term":29,"count":10},"肌張力與牽張反射增加",{"term":31,"count":10},"剪刀式步態",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":10,"year":9,"session":36},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",2,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-maternal-pediatric-017","促使新生兒出生後動脈導管功能性關閉的最主要原因為何？",17,3,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"nurse-113-2-maternal-pediatric-011","原本對生產計畫侃侃而談的待產婦女突然對護理師說：「我想解大便，我如果去廁所會不會把孩子生在馬桶裡？」，下列護理師的回應何者較適宜？",11,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-3-maternal-pediatric-009","有關足月胎兒的頭部，下列敘述何者錯誤？",9,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-063","有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",63,106,{"webId":58,"stem":59,"number":40,"year":60,"session":36},"nurse-107-2-maternal-pediatric-017","陳女士 G 2 P 0 獨自來待產，下列何種情況需立即通知醫師？",107,"2026-09-04",1788510743146]