[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-047":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-047","nurse-107-2-maternal-pediatric-047",107,2,47,"小玉，罹患先天性甲狀腺功能低下（congenital hypothyroidism），長期服用甲狀腺藥物，下列何者不是甲狀腺毒性反應之症狀？",{"A":14,"B":15,"C":16,"D":17},"心跳減緩","腹瀉","呼吸困難","痙攣","A",null,[],"本題考點在甲狀腺素過量(甲狀腺毒性)的症狀辨識。甲狀腺荷爾蒙促進代謝與交感神經活性,過量會出現心跳加速、腹瀉、呼吸急促困難、躁動與痙攣等亢進表現,而「心跳減緩」屬甲狀腺功能低下的表現,與毒性方向相反,故 A 不是甲狀腺毒性症狀。B 腹瀉為腸蠕動加快、C 呼吸困難因代謝率上升需氧增加、D 痙攣可因高代謝與神經興奮性升高而出現,皆屬過量表現。故非毒性反應者為 A。","先天性甲狀腺功能低下需終生補充甲狀腺素以維持腦部與生長發育,劑量過量即模擬甲狀腺亢進:代謝率升高→心搏過速、體溫升、多汗、體重減、腹瀉;交感興奮→顫抖、躁動、失眠。用藥安全監測:定期追蹤 TSH 與 T4、觀察心跳與活動力。記憶對比:低下=慢(心搏慢、便祕、怕冷、嗜睡);過量\u002F亢進=快(心搏快、腹瀉、怕熱、躁動)。",[24,27,30,32],{"term":25,"count":26},"先天性甲狀腺功能低下",8,{"term":28,"count":29},"甲狀腺毒性",1,{"term":31,"count":29},"甲狀腺素過量",{"term":33,"count":29},"代謝率上升",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-048","協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-064","有關新生兒生產過程造成的鎖骨骨折，下列護理措施何者錯誤？",64,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-078","有關皮肌炎（dermatomyositis）兒童的護理評估，下列何者錯誤？",78,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-036","鄭女士 53 歲，有關更年期之注意事項，下列敘述何者最適當？",36,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-080","張小妹，10 歲，罹患腦膜炎，出現顱內壓增高（Increased intracranial pressure, IICP），下列護理措施何者不適當？",80,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-034","32 歲初產婦身高 160 公分，中午 12：00 入院時子宮頸變薄 50%，擴張為 4 公分，待產期間僅給予 Ringer 輸液 keep line，但子宮收縮頻率自然變快且強度也增加，10 分鐘內平均有 5 次以上收縮，分娩進展快速於下午 14：50 娩出 1 名男嬰，出生體重 2,700 公克。有關此位初產婦分娩特性的敘述，下列何者最適當？",34,112,"2026-09-04",1788510726077]