[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-042":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-112-3-產兒科護理學-042","nurse-112-3-maternal-pediatric-042",112,3,42,"有關兒童副甲狀腺功能低下症（hypoparathyroidism），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"通常血鈣濃度小於 7.0 mg\u002FdL","手足痙攣為常見症狀","X 光檢查發現骨質疏鬆","避免食用含高磷的食物","C",null,[],"本題考點在於兒童副甲狀腺功能低下症的病理表現。副甲狀腺素（PTH）分泌不足時，血鈣下降、血磷上升，故常見血鈣低於 7.0 mg\u002FdL（A）、低血鈣引起神經肌肉興奮性增高造成手足搐搦（B），飲食上須避免高磷食物以免磷更高、鈣更低（D），皆為正確。本題為反向題，錯誤敘述為 C，副甲狀腺「功能低下」時骨骼鈣質釋出減少，骨質通常正常甚至增厚，「骨質疏鬆」反而是副甲狀腺功能「亢進」（PTH 過高、骨鈣流失）的表現，方向相反，故選 C。","對比記憶：低下→低血鈣、高血磷、Chvostek 與 Trousseau 徵象陽性、搐搦，治療補鈣與活性維生素 D；亢進→高血鈣、低血磷、骨質流失（纖維囊性骨炎）、腎結石。血鈣與血磷在此症呈反向乘積關係（鈣×磷約為定值），故低鈣多伴高磷，飲食限磷可協助校正。",[24,26,29,31],{"term":25,"count":10},"副甲狀腺功能低下",{"term":27,"count":28},"低血鈣高血磷",2,{"term":30,"count":28},"手足搐搦",{"term":32,"count":33},"與副甲狀腺亢進骨質流失對比",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-043","有關威爾姆氏腫瘤（Wilms tumor）起源於下列那個器官或系統？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"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":45,"stem":46,"number":47,"year":48,"session":33},"nurse-114-1-maternal-pediatric-033","罹患第一型糖尿病兒童的照護趨勢，專業人員運用賦權（empowerment）在以家庭為中心照護的目的，下列何者較適當？",33,114,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-115-2-maternal-pediatric-031","有關健康兒童各階段已完成發展的動作敘述，下列何者較不適當？",31,115,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-107-1-maternal-pediatric-025","新生兒經產道出生，首次呼吸產生之機轉過程，下列敘述何者正確？",25,107,{"webId":60,"stem":61,"number":62,"year":63,"session":33},"nurse-108-1-maternal-pediatric-059","小文，6 個月大，被診斷胃食道逆流（Gastroesophageal reflux），下列護理指導何者正確？",59,108,"2026-09-04",1788510745624]