[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-050":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-113-2-產兒科護理學-050","nurse-113-2-maternal-pediatric-050",113,2,50,"有關癲癇兒童接受生酮飲食療法，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"提供高脂肪、高蛋白及低醣飲食","需要增加液體攝取，有助於酮的生成","酮（ketones）可製造較多的穩定性神經傳導物質，具有鎮定效果","多數用於抗癲癇藥物治療效果良好的兒童","C",null,[],"本題考點是兒童癲癇生酮飲食(ketogenic diet)的原理與適應症。逐項核對:A錯,生酮飲食是『高脂肪、低蛋白(適量)、極低醣』,並非高蛋白,蛋白質過高會抑制生酮。B錯,酮體來自脂肪代謝而非增加水分,且生酮飲食常需適度控制\u002F監測水分,增加液體並不能促進生酮。C正確,持續生酮會使抑制性神經傳導物質GABA相對增加、穩定神經細胞膜、提高癲癇發作閾值,產生鎮定與抗癲癇效果。D錯,生酮飲食主要用於『藥物治療效果不佳(難治型)』的癲癇兒童,而非藥物控制良好者。故選C。","機轉延伸:身體以脂肪為主要能量來源時,肝臟產生酮體(β-羥基丁酸、乙醯乙酸)取代葡萄糖供腦部利用,同時改變神經傳導——提升GABA(抑制性)、調節麩胺酸(興奮性)、影響離子通道與能量代謝,整體提高發作閾值。適應症記憶:『難治型癲癇』(對兩種以上抗癲癇藥反應不佳)、特定如Dravet症候群、GLUT1缺乏症尤其有效。飲食比例常以脂肪:(蛋白+醣)=4:1或3:1設計。護理監測重點(觀念延伸):酮症過度、低血糖、腎結石、便祕、生長與血脂變化,需長期營養團隊追蹤。三大誘答陷阱即A的高蛋白、B的增加水分助生酮、D的用於藥效良好者。",[24,27,29,31],{"term":25,"count":26},"生酮飲食高脂低醣",1,{"term":28,"count":26},"酮體與GABA",{"term":30,"count":26},"提高癲癇發作閾值",{"term":32,"count":26},"難治型癲癇適應症",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":26,"year":9,"session":37},"nurse-113-3-maternal-pediatric-001","有關我國目前優生保健法中的人工流產之相關規定與法則，下列敘述何者正確？",3,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-047","小敏，8歲，因為長期嚴重便秘而入院檢查，檢查後發現大量大便堆積腸道，欲執行大量灌腸。有關大量灌腸的護理指導，下列敘述何者最不適當？",47,114,{"webId":44,"stem":45,"number":46,"year":42,"session":37},"nurse-114-3-maternal-pediatric-041","陳小妹，出生後診斷大血管轉位（transposition of the great arteries, TGA），醫囑服用前列腺素（Prostaglandin E 1 ），有關此藥的使用目的，下列敘述何者正確？",41,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-106-2-maternal-pediatric-009","有關海洋性貧血的敘述，下列何者錯誤？",9,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-maternal-pediatric-053","在嬰幼兒期自閉症的症狀表現，易與下列何種障礙混淆？",53,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-1-maternal-pediatric-007","懷孕 35 週婦女，走路時感到鼠蹊部痛，主要是那一條子宮韌帶受影響？",7,109,"2026-09-04",1788510755757]