[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-113-3-產兒科護理學-045","nurse-113-3-maternal-pediatric-045",113,3,45,"有關乳糜或粥樣瀉（celiac disease）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是自體免疫疾病，對麩質無法耐受所造成的腸病變","飲食治療以穀類與麥類為主，並適時補充維生素 C","無腹痛，但解血絲便","使用廣效型抗生素以減輕腸道發炎情形","A",null,[],"本題考點在於乳糜瀉（celiac disease）的病因與飲食原則。正確為 A：乳糜瀉是一種自體免疫疾病，因對麩質（gluten）無法耐受，引發小腸絨毛萎縮的腸病變，正確。B 錯誤，飲食治療應「避免」含麩質的穀類與麥類（小麥、大麥、黑麥），而非以其為主。C 錯誤，臨床多為慢性腹瀉、脂肪便、腹脹與生長遲滯，而非無腹痛且解血絲便。D 錯誤，本病非細菌感染，不以廣效抗生素治療。判斷關鍵在於扣住「麩質不耐、免疫性腸絨毛損傷」的本質。","乳糜瀉因遺傳易感者攝入麩質後，引發免疫反應損害小腸絨毛，造成吸收不良、脂肪便、缺鐵性貧血與生長遲滯。診斷可查抗組織轉麩醯胺酶抗體（anti-tTG）與小腸切片。唯一有效治療是終生無麩質飲食，可改以米、玉米、馬鈴薯替代。須留意加工食品中的隱藏麩質。",[24,27,29,32],{"term":25,"count":26},"乳糜瀉",2,{"term":28,"count":26},"無麩質飲食",{"term":30,"count":31},"麩質不耐",1,{"term":33,"count":31},"自體免疫",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-042","小丁進行視力檢查，發現右眼有白色反光（貓眼反射），可能罹患下列何種疾病？",42,114,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-115-1-maternal-pediatric-036","瀕死兒童出現肌肉緊張力降低，下列敘述何者最不適當？",36,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-maternal-pediatric-054","文華，9 歲，罹患淋巴癌末期，目前已轉移至骨頭，主訴右髖骨處很痛，經評估疼痛強度為八分，有關疼痛的護理措施，下列何者較為適當？",54,106,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-108-1-maternal-pediatric-018","陳女士陰道檢查結果子宮頸擴張 9 公分，變薄程度 80%，高度+2，此時胎頭最有可能在下列那個位置？",18,108,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-109-1-maternal-pediatric-052","丁丁，2 歲，診斷為水腦，並接受腦室－腹膜分流術（V-P shunt），現已術後第 5 天，今早丁丁哭鬧不喝奶，測得體溫達 38.2℃、血壓為 100\u002F60 mmHg，有關護理評估，下列何者需優先執行？",52,109,"2026-09-04",1788510753368]