[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-113-1-產兒科護理學-044","nurse-113-1-maternal-pediatric-044",113,1,44,"有關性早熟（precocious puberty）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"男孩在12歲以前、女孩在11歲以前出現第二性徵，即為性早熟","血清中的LH、FSH、estrogen、testosterone皆正常","中樞性性早熟可給與leuprolide acetate，以抑制促性腺激素釋放荷爾蒙（GnRH）的分泌","可以腹部斷層掃描確認是否有中樞性性早熟","C",null,[],"本題考點在於性早熟的定義、內分泌檢驗與中樞性治療。依中樞性性早熟治療,leuprolide acetate為GnRH類似物,持續給藥會使腦下垂體受體去敏感化,反而「抑制」促性腺激素釋放,延緩性徵進展,故C正確。A錯:一般定義為女孩8歲前、男孩9歲前出現第二性徵才算性早熟,選項年齡(女11、男12)有誤。B錯:中樞性性早熟因性腺軸提早啟動,LH、FSH及性荷爾蒙會上升而非皆正常。D錯:中樞性(腦部起源)應以腦部核磁共振(MRI)檢查有無下視丘或腦下垂體病灶,而非腹部斷層。辨識關鍵在GnRH類似物的降調節作用。","性早熟分中樞性(GnRH依賴,性腺軸提早活化,LH\u002FFSH升高)與周邊性(GnRH非依賴,性腺或腎上腺自行分泌荷爾蒙,LH\u002FFSH受抑制)。GnRH agonist如leuprolide利用「持續刺激反而使受體去敏感」的矛盾機轉抑制軸線,是中樞性首選治療。中樞病灶評估用腦部MRI。記憶:GnRH脈衝式分泌才促進,持續給藥反而抑制。",[24,26,28,30],{"term":25,"count":10},"性早熟",{"term":27,"count":10},"中樞性GnRH依賴",{"term":29,"count":10},"leuprolide GnRH類似物",{"term":31,"count":10},"受體去敏感化",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-045","膽道閉鎖（biliary atresia）是嬰兒先天性疾病之一，下列敘述何者錯誤？",45,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-041","6 歲的小強因不明原因的貧血而入院，欲進行骨髓抽吸術（bone marrow aspiration），下列處置及護理措施何者錯誤？",41,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-035","有關早產兒身體外觀的特徵，下列敘述何者錯誤？",35,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-033","承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",33,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-077","有關唇裂（cleft lip）與腭裂（cleft palate）之手術後護理，下列敘述何者正確？",77,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-031","張女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 4 cm，變薄 40%，高度為 0，胎兒監測器顯示如下圖。根據此圖形，下列何者正確？",31,108,"2026-09-04",1788510751010]