[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-074","nurse-107-2-maternal-pediatric-074",107,2,74,"有關先天性甲狀腺功能低下嬰幼兒之症狀處理，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"嬰兒出生 24 小時內抽血驗 TSH 值以確立診斷","嬰兒需暫停母乳哺餵以正確測得甲狀腺素濃度","治療目標之一為維持 T 4 濃度在 10～16 μg\u002FdL","需定期注意新生兒聽力檢查及發展評估","A",null,[],"本題考點在於先天性甲狀腺功能低下的篩檢時機。新生兒甲狀腺篩檢應在出生滿 48~72 小時、開始哺餵後採足跟血,過早於 24 小時內採檢易受出生後生理性 TSH 上升(surge)干擾而失準,故 A 敘述錯誤,即為答案。B 為題目採計的處置前提,以避免哺餵狀態影響檢驗;C 維持 T4 濃度在 10~16 μg\u002FdL 為治療目標之一;D 需定期追蹤新生兒聽力與生長發展評估——B、C、D 均屬本題認定的正確敘述。","先天性甲狀腺功能低下若未及早治療會造成不可逆的智能與生長遲緩(舊稱呆小症),故列為新生兒常規篩檢項目,及早補充左旋甲狀腺素(levothyroxine)可近乎正常發展。篩檢採 TSH\u002FT4,時機須避開出生後 TSH 生理性高峰。治療期間定期監測甲狀腺功能、生長曲線與神經發展,是照護重點。",[24,27,30,32],{"term":25,"count":26},"先天性甲狀腺功能低下",8,{"term":28,"count":29},"新生兒篩檢時機",1,{"term":31,"count":29},"生理性 TSH 上升",{"term":33,"count":29},"左旋甲狀腺素治療",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-075","有關性早熟（precocious puberty）的敘述，下列何者錯誤？",75,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-maternal-pediatric-011","王女士待產時，胎心率之變異性為 6～10 bpm，下列敘述何者正確？",11,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-maternal-pediatric-025","有關 RU486（mifepristone）的臨床治療，下列何者錯誤？",25,109,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-1-maternal-pediatric-063","王小弟，2 歲，因肺部的下葉上節有痰液蓄積，護理師為其執行姿位引流，下列姿勢何者最適當？",63,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-maternal-pediatric-027","有關剖腹產後陰道生產（vaginal birth after cesarean, VBAC）的敘述，下列何者正確？",27,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-maternal-pediatric-061","傳染力最低的是那種類型的肺炎？",61,112,"2026-09-04",1788510726412]