[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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-112-1-產兒科護理學-045","nurse-112-1-maternal-pediatric-045",112,1,45,"嬰幼兒誤食色彩鮮豔的糖果紙、廣告紙、顏料等，容易引起下列何種物質的中毒，造成中樞神經系統的損傷？",{"A":14,"B":15,"C":16,"D":17},"鉛","鐵","銅","塑化劑","A",null,[],"本題考點為兒童重金屬中毒與中樞神經損傷的關係。依據鉛(lead)可穿過血腦障壁、干擾神經傳導與髓鞘形成而造成中樞神經損傷的毒理機轉,嬰幼兒誤食含鉛的色彩鮮豔紙張、顏料、舊油漆碎片易導致鉛中毒與腦病變,故選 A。B 鐵中毒主要造成腸胃道腐蝕與肝損傷、代謝性酸中毒,非以中樞神經損傷為主要表現;C 銅過量與肝、腎及溶血相關(如威爾森氏症);D 塑化劑主要為內分泌干擾物,與此處描述的鮮豔紙張顏料誤食致中樞神經損傷情境不符。故答案為鉛。","鉛中毒好發於幼兒,因幼兒手口行為、腸道對鉛吸收率高、血腦障壁未成熟,鉛易沉積於腦部造成不可逆的認知與行為損傷,並干擾血基質合成造成貧血(嗜鹼性斑點紅血球)。來源包括舊油漆、含鉛顏料、彩色印刷品。螯合治療(如 EDTA、DMSA)用於降低血鉛。記憶:幼兒+鮮豔紙張顏料+中樞神經=鉛。",[24,27,29],{"term":25,"count":26},"鉛中毒",2,{"term":28,"count":26},"血腦障壁",{"term":30,"count":10},"中樞神經損傷",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-1-maternal-pediatric-046","有關兒童性虐待的常見表徵，下列敘述何者錯誤？",46,{"webId":37,"stem":38,"number":39,"year":9,"session":26},"nurse-112-2-maternal-pediatric-062","有關氧氣帳使用之敘述，下列何者正確？",62,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-113-1-maternal-pediatric-026","小花因誤食鐵劑而送醫治療，指導小花媽媽之護理措施，下列敘述何者最適當？",26,113,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-114-2-maternal-pediatric-024","有關子宮內膜癌婦女接受全子宮切除術及放射線治療之護理，下列敘述何者不適當？",24,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-028","產後第 1 天，江女士詢問寶寶的胎頭腫塊（Caput），下列何種解釋最適宜？",28,106,{"webId":56,"stem":57,"number":39,"year":58,"session":10},"nurse-107-1-maternal-pediatric-062","早產兒出生後通常會接受呼吸治療，有關動脈血液氣體數值分析，下列何者屬於正常範圍？",107,"2026-09-04",1788510742799]