[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-108-1-產兒科護理學-076","nurse-108-1-maternal-pediatric-076",108,1,76,"副甲狀腺功能低下（Hypoparathyroidism）的兒童會出現的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血中鈣質為 12.0～15.0 mg\u002FdL","血中磷質為 2.5～3.5 mg\u002FdL","喉部肌肉痙攣及喘鳴現象","大量鈣流失而骨密度不足","C",null,[],"本題考點在副甲狀腺功能低下的臨床表徵。副甲狀腺素分泌不足會造成低血鈣，低血鈣引發神經肌肉興奮性增高，出現手足搐搦、喉部肌肉痙攣與喘鳴，故選 C。選項 A 錯在功能低下為低血鈣（常低於 8.5 mg\u002FdL），而非 12–15 mg\u002FdL 的高值。選項 B 錯在 PTH 不足會使腎排磷減少，導致高血磷，而非 2.5–3.5 mg\u002FdL 的正常範圍。選項 D 錯在大量鈣流失、骨密度不足是副甲狀腺功能亢進（PTH 過多動員骨鈣）的表現，與低下相反。","副甲狀腺低下＝低血鈣＋高血磷（PTH 少，骨鈣不釋放、腎排磷減少）。低血鈣的神經肌肉徵象——手足搐搦、喉痙攣、Chvostek 徵象（輕叩顏面神經引臉部抽動）、Trousseau 徵象（壓脈帶充氣引腕部痙攣），嚴重可致喉痙攣窒息與癲癇。與亢進（第 075 題）恰成鏡像：低下低鈣高磷、亢進高鈣低磷。可連結概念：PTH、鈣磷反比、Chvostek\u002FTrousseau 徵象、低血鈣抽搐急救補鈣。",[24,27,30,32],{"term":25,"count":26},"副甲狀腺功能低下",3,{"term":28,"count":29},"低血鈣高血磷",2,{"term":31,"count":10},"喉痙攣搐搦",{"term":33,"count":10},"Chvostek\u002FTrousseau 徵象",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-077","小奇，10 個月大，接受尿道下裂（Hypospadias）手術，有關手術後護理措施，下列何者錯誤？",77,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-maternal-pediatric-013","下列何者是產婦待產時的危險徵象？",13,109,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-109-2-maternal-pediatric-027","有關新生兒身體評估結果，下列何者異常？",27,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-2-maternal-pediatric-065","小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",65,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-029","正常新生兒出生 4～6 小時內，最主要的能量來源為何？",29,112,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-113-1-maternal-pediatric-013","蔡女士，初產婦，因產程遲滯而行剖腹生產，新生兒出生體重3,800公克。產婦計畫要完全哺餵母乳，擔心自己奶水不足，因為從生產至今已兩天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。有關蔡女士對奶量的擔心，下列措施何者不適當？",113,"2026-09-04",1788510710876]