[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-043":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":10},"nurse-106-2-產兒科護理學-043","nurse-106-2-maternal-pediatric-043",106,2,43,"幼兒長期大量接觸鉛，導致鉛中毒所產生的合併症，下列那一項最為嚴重且會造成不可逆的傷害？",{"A":14,"B":15,"C":16,"D":17},"中樞神經系統病變","吞嚥困難、腹瀉","紅血球過多","呼吸衰竭","A",null,[],"本題考點為幼兒鉛中毒的併發症與不可逆傷害。鉛可穿越血腦障壁,幼兒神經系統發育中對鉛特別敏感,長期高量暴露造成的中樞神經系統病變(鉛腦病變、智能與認知損害)為最嚴重且不可逆的傷害,故選A。B吞嚥困難、腹瀉屬腸胃道症狀,多可處理;C鉛中毒造成的是抑制血基質合成的「貧血」而非紅血球過多;D呼吸衰竭非鉛中毒典型的不可逆結局。判準為「鉛對發育中中樞神經的永久性損害」。","鉛中毒機轉:鉛抑制δ-ALA脫水酶等血基質合成酶而致小球性貧血(似缺鐵);沉積於神經造成腦病變、周邊神經病變;沉積於骨與牙齦(鉛線)。幼兒因手口行為、吸收率高、血腦障壁未成熟而屬高危。治療:移除暴露源、螯合劑(EDTA、DMSA)。口訣:鉛傷腦不可逆,查血鉛看螯合。",[24,26,28,31],{"term":25,"count":10},"鉛中毒",{"term":27,"count":10},"血腦障壁",{"term":29,"count":30},"中樞神經病變",1,{"term":32,"count":30},"血基質合成抑制",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-044","執行嬰兒心肺復甦術時，下列何者錯誤？",44,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-107-1-maternal-pediatric-060","有關嬰幼兒生命徵象測量的順序，下列何者正確？",60,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-maternal-pediatric-074","有關先天性甲狀腺功能低下嬰幼兒之症狀處理，下列何者錯誤？",74,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-109-1-maternal-pediatric-032","孕婦早期破水的評估與處置，下列何者錯誤？",32,109,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-110-1-maternal-pediatric-076","有關病童罹患膀胱輸尿管逆流（Vesicoureteral Reflux; VUR）的初期臨床表徵，下列敘述何者正確？",76,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-030","下列何項不是新生兒於睡眠活動週期中「安靜清醒期」（quiet alert state）的行為表徵？",30,111,"2026-09-04",1788510699456]