[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-111-1-產兒科護理學-070","nurse-111-1-maternal-pediatric-070",111,1,70,"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？",{"A":14,"B":15,"C":16,"D":17},"身材矮小、圓臉和短脖子會影響小華的身體心像，鼓勵支持小華的興趣發展","若緊急出現低血鈣時，可以靜脈注射葡萄糖鈣（calcium gluconate）","發生強直性痙攣時，應維持呼吸道通暢和注意安全","服用高劑量的維他命 A","D",null,[],"本題考點是副甲狀腺功能低下的照護。依其病生理，副甲狀腺素不足會造成低血鈣與高血磷，治療應補充鈣質與活性維生素 D 以促進鈣吸收，選項 D「服用高劑量維他命 A」不適當，故選 D。A 適當，患童常有身材矮小、圓臉與短頸影響身體心像，需支持其興趣以維護自尊。B 適當，急性低血鈣抽搐時可靜脈注射葡萄糖鈣（calcium gluconate）矯正。C 適當，發生強直性痙攣時須維持呼吸道通暢並注意安全防護。關鍵在補鈣與維生素 D 而非維生素 A。","副甲狀腺素（PTH）調節血鈣：促進骨鈣釋出、腎小管回收鈣、活化維生素 D 增加腸道鈣吸收。功能低下時血鈣降、血磷升，臨床出現手足搐搦、Chvostek 與 Trousseau 徵象陽性，嚴重可致喉痙攣與抽搐。治療核心為鈣加活性維生素 D（calcitriol）。維生素 A 過量反致中毒（顱內壓升高、骨痛），與治療無關。記憶點：低鈣就補鈣加 D、急性抽搐靜脈給鈣。可延伸連結低血鈣徵象檢查與磷攝取限制。",[24,27,30,32,34],{"term":25,"count":26},"副甲狀腺功能低下",3,{"term":28,"count":29},"手足搐搦",2,{"term":31,"count":10},"低血鈣",{"term":33,"count":10},"葡萄糖鈣靜脈注射",{"term":35,"count":10},"維生素D補充",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-maternal-pediatric-071","小奇，10 歲，診斷為第一型糖尿病，有關運動的護理指導，下列敘述何者較不適當？",71,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-maternal-pediatric-007","李女士懷孕 14 週，產檢時詢問：「我從小就吃素，現在懷孕了，我在飲食上要注意什麼嗎？」下列回應何者較適當？",7,112,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-112-2-maternal-pediatric-021","李女士，產後三週，表示產後至今體重增加 5 公斤，失眠睡不好，動作遲緩且嗜睡，對任何事物及新生兒照護都缺乏興趣，覺得很有罪惡感，加上自己坐月子缺乏幫手，常常出現想死的念頭。針對李女士的情形，下列評估何者最適當？",21,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-maternal-pediatric-039","有關細菌性肺炎（bacterial pneumonia）敘述，下列何者正確？",39,113,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-3-maternal-pediatric-043","吳小妹，2 個月大，診斷為先天性甲狀腺功能低下（congenital hypothyroidism），下列護理指導何者最適當？",43,114,{"webId":61,"stem":62,"number":44,"year":63,"session":29},"nurse-106-2-maternal-pediatric-007","胎兒生理活動評估（Biophysical profile）測試內容中以超音波評估的項目包括那些？",106,"2026-09-04",1788510736003]