[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-113-1-產兒科護理學-043","nurse-113-1-maternal-pediatric-043",113,1,43,"小萍診斷為先天性甲狀腺功能低下症，有關血液檢驗值之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"甲狀腺素T4高於正常值、甲狀腺刺激素TSH高於正常值","甲狀腺素T4高於正常值、甲狀腺刺激素TSH低於正常值","甲狀腺素T4低於正常值、甲狀腺刺激素TSH低於正常值","甲狀腺素T4低於正常值、甲狀腺刺激素TSH高於正常值","D",null,[],"本題考點在於先天性甲狀腺功能低下症的甲狀腺功能檢驗判讀。依內分泌回饋機轉,原發性(甲狀腺本身)功能低下時,甲狀腺素T4分泌不足(低於正常值),缺乏負回饋抑制,腦下垂體代償性增加甲狀腺刺激素TSH(高於正常值),故D正確(T4↓、TSH↑)。A、B錯:先天性甲狀腺低下T4應下降而非上升。C錯:若T4與TSH同時偏低屬次發性(腦下垂體問題),不符最常見的原發性先天性甲狀腺低下。辨識關鍵在原發性甲低=T4低、TSH高的典型組合。","下視丘-腦下垂體-甲狀腺軸負回饋:甲狀腺荷爾蒙低→TSH升高刺激甲狀腺。先天性甲狀腺低下(呆小症\u002Fcretinism)若未及早治療會導致不可逆智能障礙與生長遲滯,故新生兒篩檢必驗TSH。治療給予levothyroxine(T4)終生補充。判讀口訣:原發看甲狀腺(T4低TSH高),次發看腦垂體(兩者皆低)。",[24,27,30,33],{"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},"負回饋機轉",2,{"term":34,"count":10},"T4低TSH高",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-maternal-pediatric-044","有關性早熟（precocious puberty）的敘述，下列何者正確？",44,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-113-3-maternal-pediatric-040","2 歲的王小弟罹患先天性心臟病，以毛地黃（digoxin）治療，一天服用兩次。下列敘述何者正確？",40,3,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-2-maternal-pediatric-034","孩子剛死亡，父母哀傷並哭泣。下列護理處置何者較不適當？",34,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-032","沈女士，21 歲，懷孕 30 週產檢時發現血壓 150\u002F100 mmHg，經診治與追蹤 1 個月後，血壓仍維持在 150\u002F100～160\u002F110 mmHg 之間，34 週產檢時血壓 160\u002F100 mmHg 合併尿蛋白(+)及水腫(+)情形，根據這些臨床徵候，沈女士可能罹患下列何項合併症？",32,106,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-107-1-maternal-pediatric-076","有關膀胱輸尿管逆流（Vesicoureteral Reflux, VUR），下列敘述何者錯誤？",76,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-108-2-maternal-pediatric-030","有關協助子宮復舊的產後運動，下列何者錯誤？",30,108,"2026-09-04",1788510751003]