[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-011":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-107-2-產兒科護理學-011","nurse-107-2-maternal-pediatric-011",107,2,11,"有關妊娠期婦女甲狀腺分泌功能變化的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"妊娠期婦女基礎代謝率增加，甲狀腺素（thyroxine, T4）的分泌會受到抑制","妊娠期甲狀腺功能亢進的婦女，易發生自發性流產","甲狀腺結合血清蛋白平均值在第二妊娠期達到最高","妊娠期甲狀腺素值會升高，但三碘甲狀腺素（triiodothyronine, T3）值則下降","C",null,[],"本題考點在妊娠期甲狀腺生理變化。雌性素上升會刺激肝臟合成甲狀腺結合球蛋白（TBG），使血中結合型甲狀腺素增加，TBG 平均值於第二妊娠期達最高，故 C 敘述正確。A 妊娠期基礎代謝率增加、甲狀腺活性上升，T4 分泌是增多而非受抑制，敘述錯誤。B 未經控制的甲狀腺功能亢進雖有風險，但敘述將其單一化為「易發生自發性流產」不夠精確，且非本題正解；甲狀腺功能低下與流產關聯更受強調。D 妊娠期在 TBG 上升下 T4、T3 總量皆升高，並非 T3 下降，敘述錯誤。故正確者為 C。","孕期甲狀腺變化的驅動因子有二：雌性素使 TBG 上升（拉高「總」T4\u002FT3，但游離 FT4 大致維持正常）、hCG 因結構近似 TSH 而在孕早期輕微刺激甲狀腺。故看到「總量升高」要想到 TBG，看到「游離正常」才是實際功能。臨床評估孕婦甲狀腺應看 FT4 與 TSH 而非總 T4。連結概念：甲狀腺結合球蛋白 TBG、游離 T4、hCG 類 TSH 效應、基礎代謝率。",[24,27,30,32],{"term":25,"count":26},"雌性素",4,{"term":28,"count":29},"妊娠期甲狀腺變化",1,{"term":31,"count":29},"甲狀腺結合球蛋白 TBG",{"term":33,"count":29},"T4\u002FT3 總量升高",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-028","產後會陰傷口評估所使用的項目縮寫為何？",28,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-042","護理師幫幼兒觸診頸部時，觸摸到淋巴結，下列對於觸摸到淋巴結特徵的描述，何者屬於異常現象？",42,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-maternal-pediatric-080","小英 6 歲，因扁平足（flat foot）就診，有關護理指導之敘述，下列何者正確？",80,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-044","有關新生兒搖晃症候群（Shaken Baby Syndrome）的敘述，下列何者錯誤？",44,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-1-maternal-pediatric-078","有關雷氏症候群（Reye’s syndrome）的臨床表徵，下列敘述何者錯誤？",78,112,"2026-09-04",1788510725721]