[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-1-產兒科護理學-049","nurse-114-1-maternal-pediatric-049",114,1,49,"張小弟，10歲，診斷為裘馨氏肌失養症（Duchenne muscular dystrophy），有關病因和臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"體染色體隱性遺傳疾病","蹲下拿東西，無力獨自站起來","直立時明顯腰椎前彎","小腿肚（腓腸肌）假性肥大","A",null,[],"本題考點在於裘馨氏肌失養症（Duchenne muscular dystrophy, DMD）的遺傳型式與臨床表徵。本題為反向題，錯誤敘述為 A：DMD 屬「X 染色體性聯隱性遺傳」，因 dystrophin 基因位於 X 染色體，故幾乎只發生於男孩，並非體染色體隱性遺傳，A 錯誤。B 近端肌無力使蹲下後無法自行站起，需靠手撐大腿爬起（高爾徵象 Gower's sign），正確。C 骨盆帶肌無力代償致直立時腰椎前凸，正確。D 腓腸肌因脂肪與結締組織浸潤呈假性肥大，正確。","DMD 為 X-linked recessive，dystrophin 蛋白缺失致肌纖維進行性退化。招牌徵象：Gower's sign（雙手爬上大腿站起）、小腿假性肥大、腰椎前凸、鴨步。血清 CK 顯著升高、肌肉切片與基因檢測確診。多於 3-5 歲發病、青少年期喪失行走能力，須注意心肌病變與呼吸衰竭。母親多為帶因者。",[24,27,29,31],{"term":25,"count":26},"裘馨氏肌失養症",2,{"term":28,"count":10},"X 性聯隱性遺傳",{"term":30,"count":10},"高爾徵象",{"term":32,"count":10},"腓腸肌假性肥大",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-050","小美，15個月大，從樓梯跌落導致頭部受傷，急診護理師依據兒童適用之葛氏昏迷量表（Glasgow coma scale, GCS）評估其意識程度，結果顯示叫他時會睜眼，雖會哭泣但可安撫，輕觸其手臂會收縮反應，請問小美的昏迷指數為幾分？",50,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-046","高小弟，8 個月，診斷泌尿道感染（urinary tract infection），下列護理指導何者最適當？",46,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-maternal-pediatric-040","關於先天性心臟病病童一般術後的護理處置，下列敘述何者錯誤？",40,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-028","新生兒先天性代謝異常疾病中，下列何者不是屬於體染色體隱性遺傳疾病？",28,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-072","王小弟，5 歲，因心臟病需進行胸骨切開式開心手術。有關傷口換藥的術前心理準備，下列護理措施何者合適？",72,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-maternal-pediatric-026","有關產後生殖器官的復舊過程，下列何者正確？",26,109,"2026-09-04",1788510758067]