[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-048","nurse-113-3-maternal-pediatric-048",113,3,48,"7 歲的奇奇罹患腦性麻痺，因基底核和錐體外病變，產生不自主運動，且出現無法控制四肢抖動，尤其影響手部的書寫功能，有關奇奇罹患之腦性麻痺的型態，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"痙攣型（spastic）","運動失調型（ataxic）","手足徐動型（athetoid type）","無張力型（atonic）","C",null,[],"本題考點在於腦性麻痺（cerebral palsy）的分型辨識。依題幹，病變位於基底核與錐體外系統，出現無法控制的不自主運動、四肢抖動並影響手部書寫，此屬手足徐動型（athetoid type），故選 C。A 痙攣型源於錐體系統（運動皮質）受損，表現為肌張力過高、剪刀腳；B 運動失調型源於小腦病變，表現為平衡與協調障礙、步態不穩；D 無張力型表現為肌張力低下、軟弱無力。判斷關鍵在於將「基底核／錐體外＋不自主運動」對應到手足徐動型。","腦性麻痺依受損部位與動作型態分型：痙攣型（最常見，錐體系統）、動作困難型／手足徐動型（錐體外系統、基底核，見蠕動樣不自主動作）、運動失調型（小腦，協調與平衡差）、混合型。核心對應為「基底核＝不自主蠕動＝athetoid」。可連結核黃疸（膽紅素腦病變）為手足徐動型常見成因。",[24,27,30,32],{"term":25,"count":26},"腦性麻痺",6,{"term":28,"count":29},"手足徐動型",1,{"term":31,"count":29},"基底核\u002F錐體外系統",{"term":33,"count":29},"不自主運動",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-049","10 歲的曉華罹患頑固型癲癇，醫生建議以生酮飲食治療，下列何者正確？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-maternal-pediatric-045","有關骨肉瘤（osterosarcoma）的症狀及治療，下列敘述何者錯誤？",45,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-115-1-maternal-pediatric-039","陳小妹，9 歲，罹患氣喘，有關尖峰呼氣流速值（peak expiratory flow rate, PEFR）使用的注意事項，下列敘述何者正確？",39,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-maternal-pediatric-057","小明為小一學生，日前罹患水痘，校護對於小明返校上課的建議，下列何者適當？",57,106,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-108-1-maternal-pediatric-021","李女士剖腹生產後第 1 天，生命徵象正常，尚未排氣，惡露為少量的深紅色，下列護理指導何者適當？",21,108,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-109-1-maternal-pediatric-055","小美，3 歲，因重積癲癇而入住加護病房照護，下列何者不是以家庭為中心的照護？",55,109,"2026-09-04",1788510753385]