[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-110-2-產兒科護理學-072","nurse-110-2-maternal-pediatric-072",110,2,72,"小花，3 個月大，診斷為先天性甲狀腺功能低下，有關其疾病之臨床表徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"肌肉張力強","前囟門未閉合","常有腹瀉情形","皮膚乾粗","D",null,[],"本題考點是先天性甲狀腺功能低下的臨床表徵。甲狀腺素不足會全面拖慢代謝,故典型表現為代謝低下相關症狀:皮膚乾燥粗糙、活動力差、肌肉張力低下、便秘、餵食差、延遲性黃疸、囟門寬大等,故『皮膚乾粗』正確,選D。A『肌肉張力強』錯誤,應為肌肉張力低下(hypotonia)。C『常有腹瀉』錯誤,代謝慢腸蠕動差,反而以便秘為主。B『前囟門未閉合』無鑑別意義,3個月大嬰兒前囟門本就尚未閉合(正常約12–18個月才閉),且此症較具特徵者為後囟門寬大,故非最佳答案。","先天性甲狀腺功能低下=全身代謝『慢』的疾病,症狀可用『慢、乾、大、黃』串記:代謝慢(活動少、餵食差、便秘、體溫低、心搏慢、肌張力低)、皮膚乾粗、舌大臍疝與囟門寬大、延遲性黃疸。若未及早以甲狀腺素補充治療,將導致不可逆的智能與生長遲滯,故新生兒篩檢(足跟採血測TSH\u002FT4)是關鍵。對比甲狀腺功能亢進則相反:活動多、腹瀉、心搏快、體重減。此題鑑別重點:凡選項寫成『張力強、腹瀉』等『代謝快』表現者,方向即與本症相反。",[24,27,30,33,35],{"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":32},"代謝低下表徵",1,{"term":34,"count":32},"肌肉張力低下",{"term":36,"count":32},"便秘(非腹瀉)",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-maternal-pediatric-073","嬰兒唇顎裂手術後的護理照護注意事項，下列敘述何者錯誤？",73,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-2-maternal-pediatric-009","懷孕 24 週婦女，孕前 BMI 為 23，目前體重比孕前增加 5 公斤，血色素（Hb）＝11.2 g\u002FdL，血比容（Hct）＝35%，目前飲食指導內容，下列何者除外？",9,111,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,112,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-113-1-maternal-pediatric-011","劉女士，G1P0，子宮頸開4公分，每3分鐘宮縮一次，無胎頭骨盆不對稱（CPD），使用硬脊膜外麻醉，持續2 小時都未見胎頭下降，此時最優先之處置為何？",11,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-015","產婦產後第一次下床活動前，下列何者為最優先的護理評估？",15,114,{"webId":63,"stem":64,"number":45,"year":65,"session":32},"nurse-106-1-maternal-pediatric-009","王女士，33 歲，目前懷孕 9 週，有貧血的現象。下列何種食物可幫助鐵質的吸收？",106,"2026-09-04",1788510730299]