[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-107-1-產兒科護理學-051","nurse-107-1-maternal-pediatric-051",107,1,51,"有關第一型糖尿病（type I diabetes mellitus）的初期臨床表徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"陳施式呼吸","體重增加","高血糖及酮酸中毒","口渴、少尿症狀","C",null,[],"本題考點是第一型糖尿病初期的臨床表徵。依其病理,胰島 β 細胞遭自體免疫破壞致胰島素絕對缺乏,細胞無法利用葡萄糖而轉為分解脂肪產生酮體,故初期常以『高血糖及酮酸中毒(DKA)』表現,選 C。選項 A「陳施式呼吸」錯誤:酮酸中毒代償為深快的庫斯毛耳氏呼吸(Kussmaul)。選項 B「體重增加」錯誤:因細胞能量匱乏、脂肪蛋白分解,病童反而『體重減輕』。選項 D「口渴、少尿」錯誤:高血糖造成滲透性利尿,應為『多尿』而非少尿。三個錯項都把代償方向搞反。","第一型 DM 三多一少:多吃、多喝、多尿、體重減輕。核心機轉:胰島素絕對不足→葡萄糖進不了細胞→血糖升高致滲透性利尿(多尿→脫水口渴)→細胞飢餓分解脂肪→酮體堆積致代謝性酸中毒(DKA)→Kussmaul 呼吸代償排 CO₂、呼氣帶爛蘋果味(丙酮)。與第二型的差異:第一型多在兒童青少年急性起病、易以 DKA 首發;第二型漸進、與胰島素阻抗有關。記住『少尿』是陷阱,DKA 是脫水性多尿。",[24,26,28,30],{"term":25,"count":10},"第一型糖尿病胰島素絕對缺乏",{"term":27,"count":10},"糖尿病酮酸中毒DKA",{"term":29,"count":10},"Kussmaul呼吸",{"term":31,"count":10},"滲透性多尿",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-052","有關先天性甲狀腺功能低下症（Congenital Hypothyroidism）之敘述，下列何者錯誤？",52,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-068","有關嬰兒玫瑰疹（roseola infantum），下列何者錯誤？",68,2,{"webId":43,"stem":44,"number":41,"year":45,"session":41},"nurse-108-2-maternal-pediatric-002","下列那一種細菌或病毒感染，為罹患子宮頸癌的高危險群？",108,{"webId":47,"stem":48,"number":49,"year":50,"session":41},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",40,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-maternal-pediatric-004","有關測量胎心音的敘述，下列何者最正確？",4,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-038","王女士有打噴嚏、咳嗽、大笑所引起無法自主控制膀胱的漏尿，是屬於下列那種尿失禁？",38,112,"2026-09-04",1788510703746]