[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-071":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":10},"nurse-106-2-產兒科護理學-071","nurse-106-2-maternal-pediatric-071",106,2,71,"章小妹，出生 3 天的足月兒，疑似罹患先天性腎上腺增生症，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"由檢查血中 19-KS（19-ketosteroids）的含量做診斷","從外生殖器的觀察，不易分辨性別","在早上補充皮質酮治療，以維持正常分泌","皮質酮治療期間容易出現感染之副作用","A",null,[],"本題考點在先天性腎上腺增生症(CAH)的診斷與治療,採反向題。CAH 因類固醇合成酵素缺陷(最常見 21-羥化酶缺乏),雄性素過多致女嬰外生殖器男性化而不易辨性別(B 正確),需終身補充糖皮質類固醇(皮質酮),模仿生理分泌節律於早晨給予(C 正確),且長期皮質酮治療會抑制免疫易感染(D 正確)。A 診斷應檢測血中 17-羥孕酮(17-OHP)升高及尿中 17-酮類固醇等,題述『19-KS(19-ketosteroids)』並非標準診斷指標,此敘述錯誤,選 A。","先天性腎上腺增生(CAH)最常見型為 21-hydroxylase 缺乏,導致皮質醇(cortisol)與醛固酮不足、前驅物轉向雄性素,故 17-OHP 升高(篩檢指標)、女嬰外陰男性化。失鹽型可致低血鈉、高血鉀、脫水甚至休克。治療為終身補充糖皮質(視型別加礦皮質)類固醇,劑量隨壓力\u002F感染增加。記憶:『CAH 驗 17-OHP、女嬰男性化、缺醛固酮會失鹽、類固醇要補一輩子』。給藥模擬皮質醇清晨高峰的生理節律。",[24,26,29,31],{"term":25,"count":10},"21-羥化酶缺乏",{"term":27,"count":28},"先天性腎上腺增生症(CAH)",1,{"term":30,"count":28},"17-羥孕酮診斷指標",{"term":32,"count":28},"糖皮質類固醇補充",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-072","罹患胰島素依賴型糖尿病（IDDM）的 12 歲病童，參加營養衛教課，當病童能說出下列何者，表示護理師此次衛教已經成功？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-maternal-pediatric-008","下列何種情況最常利用超音波偵測胎兒臍帶動脈血流，以評估胎兒之生長發育？",8,107,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"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":49,"stem":50,"number":51,"year":52,"session":28},"nurse-109-1-maternal-pediatric-060","有關兒童住院壓力，下列敘述何者錯誤？",60,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-024","白女士 G 2 P 2 ，陰道生產後一週，此時惡露的評估正常為何？①白色 ②粉紅色 ③1 小時內產墊上的血液約為 5 公分 ④30 分鐘浸溼整片產墊",24,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-058","安安，9 歲，因白血病復發病況惡化，常主訴身體疼痛，下列處置何者較不適當？",58,111,"2026-09-04",1788510699750]