[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-1-產兒科護理學-052","nurse-107-1-maternal-pediatric-052",107,1,52,"有關先天性甲狀腺功能低下症（Congenital Hypothyroidism）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是一種自體隱性遺傳的疾病","早期症狀為新生兒黃疸、生長緩慢、明顯矮小及餵食困難","若無法及時提供適當甲狀腺素，則可能導致病童心智遲緩","好發於男性","D",null,[],"本題考點是先天性甲狀腺功能低下症的疾病特性,要找錯誤敘述。依流行病學,此症好發於『女性』,女男比約 2:1,故 D「好發於男性」錯誤為正解。選項 A 正確:多數屬體染色體隱性遺傳的甲狀腺生成或荷爾蒙合成異常。選項 B 正確:因甲狀腺素不足使代謝降低,早期可見持續性新生兒黃疸、生長緩慢、明顯矮小、餵食困難、活動力差、便秘等。選項 C 正確:甲狀腺素為腦部發育所必需,若未及時補充,將導致不可逆的心智遲緩(呆小症),故新生兒篩檢極為重要。錯項 D 把性別好發方向弄反。","先天性甲狀腺低下的關鍵在『及早篩檢、及早補充』:台灣新生兒篩檢(足跟採血驗 TSH)正是為了在腦部發育黃金期前抓出此症,及時給予甲狀腺素(levothyroxine)可預防呆小症(cretinism)與心智遲滯,治療越晚後遺症越重。臨床表徵記憶:黃疸久不退、大舌頭、臍疝、便秘、餵食差、囟門大、體溫低——皆為代謝低下所致。性別上女多於男,與許多先天代謝症以男性為主不同,是本題的辨別陷阱。",[24,27,30,32],{"term":25,"count":26},"新生兒篩檢",13,{"term":28,"count":29},"先天性甲狀腺功能低下症",3,{"term":31,"count":10},"好發於女性",{"term":33,"count":10},"未治療致呆小症",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-maternal-pediatric-053","王小弟，10 歲，長期服用抗癲癇藥物，應定期檢查的項目，下列何者除外？",53,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-maternal-pediatric-069","有關急性細支氣管炎的敘述，下列何者正確？",69,2,{"webId":45,"stem":46,"number":29,"year":47,"session":43},"nurse-108-2-maternal-pediatric-003","李女士，G 1 P 0 ，懷孕 25 週，請教護理師：「我身體上從肚臍到會陰部有一條褐色的線，這正常嗎？什麼時候會消失？」，護理師的回答，下列何者為宜？",108,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-109-2-maternal-pediatric-041","小畢 3 歲，因為經常出現咬手、打頭、撞牆行為而就醫，醫師診斷有自閉症，護理師指導父母有關自閉症的兒童照護，下列何者錯誤？",41,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-maternal-pediatric-005","蔡女士，懷孕第 13 週，主訴上週出國到茲卡病毒疫區，她擔心胎兒會受到影響，護理師的回應，下列何者適當？",5,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-039","有關尖型濕疣（菜花）的敘述，下列何者錯誤？",39,112,"2026-09-04",1788510703758]