[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-049":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":26},"nurse-113-1-產兒科護理學-049","nurse-113-1-maternal-pediatric-049",113,1,49,"小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵加強費力的活動，有助改善肌肉力量","若出現複視情形，需預防跌倒","觀察是否有呼吸困難或痰液不易咳出情形","眼瞼下垂是最早出現的症狀","A",null,[],"本題考點在於重症肌無力(myasthenia gravis)的活動與安全照護,屬反向題,選不適當者。錯誤敘述為A:重症肌無力的病理是神經肌肉接合處乙醯膽鹼受體受阻,肌肉「越用越無力」(易疲勞性肌無力),過度費力活動只會加速肌肉耗竭,而非改善肌力,故A不適當,選A。B正確:複視是常見眼肌症狀,會影響視覺與平衡,須預防跌倒。C正確:須警覺呼吸肌無力導致呼吸困難、痰液不易咳出(肌無力危象風險),密切觀察。D正確:眼瞼下垂(ptosis)與複視常是最早出現的症狀。辨識關鍵在「越用越無力」故不宜加強費力活動。","重症肌無力為自體免疫疾病,抗體攻擊突觸後膜乙醯膽鹼受體,特徵為活動後加重、休息後改善的肌無力,晨輕暮重。治療用抗膽鹼酯酶藥(pyridostigmine)。兩大危象:肌無力危象(藥量不足)與膽鹼激性危象(藥量過多),皆可致呼吸衰竭。照護重點是安排活動與休息交替、避免過勞、監測呼吸功能。記憶:MG=用進廢退相反,越動越累。",[24,27,29,31],{"term":25,"count":26},"重症肌無力",2,{"term":28,"count":10},"易疲勞性肌無力",{"term":30,"count":10},"乙醯膽鹼受體",{"term":32,"count":10},"眼瞼下垂與呼吸監測",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-050","有關熱性痙攣（febrile convulsion）的敘述，下列何者最不適當？",50,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-046","有關排尿性膀胱尿道攝影（voiding cystoureterography,VCUG）的敘述，下列何者最適當？",46,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-040","王小妹，6 個月，因熱性痙攣（febrile seizure）出現全身抽搐，王小妹的母親詢問護理師：「再出現全身抽搐時，該如何處置？」，下列護理指導何者最適當？",40,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-038","有關更年期婦女變化之敘述，下列何者正確？",38,106,{"webId":54,"stem":55,"number":26,"year":56,"session":26},"nurse-107-2-maternal-pediatric-002","有關臺灣家庭結構改變的敘述，下列何者錯誤？",107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-108-2-maternal-pediatric-036","有關心臟病婦女妊娠期護理之敘述，下列何者錯誤？",36,108,"2026-09-04",1788510751047]