[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-110-1-產兒科護理學-069","nurse-110-1-maternal-pediatric-069",110,1,69,"小青，2 歲，罹患先天性甲狀腺功能低下（congenital hypothyroidism），下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"提供低纖維食物，以預防腹瀉","增加鐵質的提供，以預防貧血","給予四肢適當保暖，預防體溫過低","鼓勵增加日曬時間，以促進骨骼發展","A",null,[],"本題考點是先天性甲狀腺功能低下的照護,要挑出不適當者。考點在於甲狀腺素不足使腸蠕動變慢、代謝率下降,病童常見便秘而非腹瀉,因此應提供高纖維飲食,故『提供低纖維食物以預防腹瀉』的敘述不適當,選 A。選項 B 適當,此症易合併貧血,增加鐵質攝取合理;C 適當,代謝低下產熱少易體溫過低,須注意保暖;D 適當,適度日曬與活動有助骨骼生長發育。判斷關鍵在於辨識甲狀腺低下造成的是便秘而非腹瀉。","甲狀腺素主導基礎代謝率,先天性甲狀腺功能低下若未及早以左旋甲狀腺素替代治療,會影響腦部與骨骼發育造成智能與生長遲緩,故新生兒篩檢的意義重大。典型表現:活動少、餵食差、便秘、體溫低、生長遲緩、黃疸延長、大舌與臍疝氣。飲食應高纖維改善便秘,並確保營養支持生長。記憶:『代謝低→慢、冷、便秘、遲緩』。可連結新生兒代謝篩檢項目與甲狀腺功能亢進表現作對比複習。",[24,27,30,32],{"term":25,"count":26},"新生兒篩檢",13,{"term":28,"count":29},"先天性甲狀腺功能低下",8,{"term":31,"count":10},"代謝率下降與便秘",{"term":33,"count":10},"高纖維飲食",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-maternal-pediatric-070","有關兒童腫瘤好發部位的敘述，下列何者錯誤？",70,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-maternal-pediatric-006","羅女士，因 16 歲的女兒月經遲遲未來，經醫師診斷為透納式症候群（Turner syndrome），有關透納式症候群之敘述，下列何者正確？",6,111,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-111-2-maternal-pediatric-020","產後第二天純母乳哺餵的母親詢問：「我的寶寶兩餐之間是否需要餵開水？」下列護理指導何者最適當？",20,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-112-2-maternal-pediatric-058","小立，6 歲，一週前被三斑家蚊叮咬，之後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬的症狀，其抽取腦脊髓液的檢查結果，下列敘述何者正確？",58,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-maternal-pediatric-032","3 歲的小杰生病住進了加護病房第 4 天，小杰顯得安靜、沉默以及對病房的事物不感興趣，其分離焦慮是處於那個時期？",32,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-1-maternal-pediatric-026","小華，2 個月大，因被厚棉被蓋住頭部，母親掀開棉被後發現小華呈現無意識，有關其急救措施之敘述，下列何者正確？",26,115,"2026-09-04",1788510722245]