[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-069":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":10},"nurse-111-1-產兒科護理學-069","nurse-111-1-maternal-pediatric-069",111,1,69,"小良，4 歲，身高 90 公分，患有生長素缺乏（growth hormone deficiency），有關護理措施，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"應以小良發展年齡的方式與其互動，以促進正向發展","建議發掘小良較優勢的能力，而非靠身高取勝的活動","建議母親在家中須每日早上起床時為小良注射生長素","生長素的注射部位可以選擇腹部及大腿，採皮下注射","C",null,[],"本題考點是生長激素缺乏兒童注射生長素的正確時機與方式。依生長激素的生理分泌節律，其在夜間深睡期分泌最旺盛，故補充治療建議於睡前注射以模擬生理節律、提升療效，選項 C 建議「每日早上起床時注射」不適當，故選 C。A 適當，應以其發展年齡而非身高外觀與之互動，促進正向自我概念。B 適當，發掘身高以外的優勢能力有助其自尊發展。D 適當，生長素採皮下注射，部位可選腹部、大腿等並輪替以防脂肪萎縮。","生長激素由腦下垂體前葉分泌，具脈衝式且以夜間慢波睡眠期分泌最多，故外源補充多於睡前皮下注射以貼近生理節律。治療需長期規律、定期監測身高速率與骨齡，並注意副作用（如顱內壓上升、股骨頭滑脫、血糖變化）。心理照護重點是依發展年齡對待、培養非身高導向的成就感。記憶點：夜間分泌 → 睡前注射、皮下輪替部位。可延伸連結骨齡評估與治療反應監測。",[24,26,28,30,32],{"term":25,"count":10},"生長激素缺乏",{"term":27,"count":10},"生長素睡前注射",{"term":29,"count":10},"夜間分泌節律",{"term":31,"count":10},"皮下注射輪替",{"term":33,"count":10},"發展年齡互動",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-070","小華，11 歲，診斷為副甲狀腺功能低下，下列護理照護措施之敘述，何者較不適當？",70,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-maternal-pediatric-006","蔡女士 30 歲，懷孕 14 週，孕前身體質量指數（BMI）30 kg\u002Fm 2 ，下列何者為最優先安排的檢查？",6,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-maternal-pediatric-020","有關產褥期身心調適的敘述，下列何者錯誤？",20,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-maternal-pediatric-038","為病童執行抽吸（suction）技術時，下列護理處置何者最適當？",38,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-maternal-pediatric-042","小傑，8 歲，診斷再生不良性貧血（aplastic anemia），因白血球、紅血球及血小板下降而入院接受治療，下列護理何者最適當？",42,114,3,{"webId":61,"stem":62,"number":42,"year":63,"session":48},"nurse-106-2-maternal-pediatric-006","有關胚胎與胎兒的發育，下列敘述何者正確？",106,"2026-09-04",1788510735994]