[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-049","nurse-113-3-maternal-pediatric-049",113,3,49,"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？",{"A":14,"B":15,"C":16,"D":17},"高蛋白質、低醣類","高脂肪、低醣類","高醣類、高蛋白質","高纖維質、低脂肪","B",null,[],"本題考點在於生酮飲食（ketogenic diet）於頑固型癲癇的營養組成。正確為 B：生酮飲食為高脂肪、低醣類（並適量蛋白質），使身體以脂肪代謝產生酮體作為主要能量來源，藉此抑制癲癇發作，故選 B。A 錯誤，重點不在高蛋白，且高蛋白會影響酮體生成；C 錯誤，高醣類會抑制酮體生成，與生酮原則完全相反；D 錯誤，低脂肪飲食無法產生足夠酮體，違背生酮機轉。判斷關鍵在於掌握生酮飲食「以脂肪為主能量、限制醣類」的核心比例。","生酮飲食典型脂肪與（蛋白質＋醣類）比例約 3:1 至 4:1，強迫身體進入酮症狀態，酮體（β-羥基丁酸等）具抗癲癇作用，機轉可能涉及神經傳導與能量代謝調節。用於藥物難治型癲癇。須監測血酮、生長、血脂與腎結石等副作用，並在專業營養評估下執行以避免營養失衡。",[24,27,29,31],{"term":25,"count":26},"生酮飲食",1,{"term":28,"count":26},"頑固型癲癇",{"term":30,"count":26},"酮體",{"term":32,"count":26},"高脂低醣",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-maternal-pediatric-050","有關單側性發展性髖關節發育不良（developmental hip dysplasia, DDH）病童的臨床表徵，下列何者錯誤？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-maternal-pediatric-046","有關新生兒先天性甲狀腺功能低下症（congenital hypothyroidism）的敘述，下列何者錯誤？",46,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-maternal-pediatric-040","安撫躁動不安的法洛氏四重畸形病童，經常採取膝胸臥式或蹲姿，有關彎曲腿部的理由，下列敘述何者錯誤？",40,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-maternal-pediatric-058","小明，1 歲半，診斷為川崎氏症而住院治療。醫囑給予小明高劑量 Aspirin 100 mg\u002Fkg\u002Fday，及靜脈注射免疫球蛋白（intravenous immune globulin）2g\u002Fkg。下列護理指導內容，何者不適當？",58,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-1-maternal-pediatric-022","吳女士產後第 2 天於餵母奶時表示：「妹妹跟爸爸長得好像！」此時產婦的行為屬於下列何者？",22,108,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-maternal-pediatric-056","小銘，2 歲，罹患典型的異戊酸血症（Isovaleric Acidemia），下列敘述何者正確？",56,109,"2026-09-04",1788510753406]