[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-075","nurse-107-2-maternal-pediatric-075",107,2,75,"有關性早熟（precocious puberty）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"通常男孩子發生率較高，較女孩高出 2～3 倍","血清中 LH, FSH, estrogen, testosterone 皆上升","可用 X 光檢查骨骺板癒合情況以確認骨齡","可以腦部掃描確認是否有中樞神經性早熟","A",null,[],"本題考點在於性早熟(precocious puberty)的流行病學與診斷。性早熟以女孩發生率較高(且多為特發性),男孩相對較少但器質性病因比例高,故 A「男孩發生率較高、較女孩高出 2~3 倍」敘述錯誤,即為答案。B 中樞性性早熟因下視丘-腦垂體-性腺軸提早活化,血清 LH、FSH、estrogen、testosterone 皆上升,正確。C 以 X 光評估骨骺板與骨齡進展,正確。D 以腦部影像掃描排查是否為中樞神經病變引起的中樞性性早熟,正確。","性早熟分中樞性(GnRH 依賴,性腺軸提早啟動,促性腺激素上升)與周邊性(GnRH 非依賴,性荷爾蒙來自性腺或腎上腺、腫瘤等,促性腺激素被抑制)。女孩多為特發性中樞性,男孩則較需警覺中樞病灶。過早的性荷爾蒙暴露會加速骨齡、使骨骺板提早癒合,反而縮短最終身高,是評估與治療(GnRH 類似劑)的重點。",[24,27,29,31],{"term":25,"count":26},"性早熟(precocious puberty)",1,{"term":28,"count":26},"中樞性 vs 周邊性",{"term":30,"count":26},"下視丘-腦垂體-性腺軸",{"term":32,"count":26},"骨齡與骨骺板",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-076","有關腎病症候群（nephrotic syndrome）與急性腎絲球腎炎（acute glomerulonephritis）之比較，下列何者正確？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-maternal-pediatric-012","陳女士，G 1 P 0 ，因規則陣痛而入產房待產，胎位為 ROA，子宮頸口開 1 cm，station=0，下列何者為 station 0？",12,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-maternal-pediatric-026","Apgar score 計分表的評估項目不包含下列那一項？",26,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-maternal-pediatric-064","王小妹，6 個月大，有關心導管檢查前的準備，下列敘述何者適當？",64,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-028","有關新生兒臍帶的照護措施，下列何者不適當？",28,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-062","有關氧氣帳使用之敘述，下列何者正確？",62,112,"2026-09-04",1788510726419]