[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-113-2-產兒科護理學-031","nurse-113-2-maternal-pediatric-031",113,2,31,"有關厭食症的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"好發於青少年期，女性多","厭食症的女性易造成經血過多，經期過短的問題","病童對身體形象知覺錯誤現象","運用認知行為治療及心理治療等，修正病童不良飲食行為","B",null,[],"本題考點在於神經性厭食症（anorexia nervosa）的流行病學與臨床表現，屬反向題，須找出錯誤敘述。錯誤敘述為 B：厭食症因體重過低、體脂不足導致下視丘-腦下垂體-性腺軸抑制、雌激素低下，臨床表現是「無月經或經血過少、經期紊亂」，而非「經血過多」，故 B 方向相反為正解。A 正確，厭食症好發於青少年期，以女性居多。C 正確，病人有明顯的身體心像知覺扭曲，即使極瘦仍覺得自己胖。D 正確，治療結合認知行為治療與心理治療修正扭曲認知與不良飲食行為，並需營養復健。本題須掌握厭食症因能量不足導致的內分泌後果是「停經／經少」，避免與「經血過多」混淆。","神經性厭食症診斷（DSM-5）：限制能量攝取致顯著低體重、強烈怕胖、身體心像扭曲。低體重與低體脂造成下視丘性閉經（GnRH 脈衝下降→LH\u002FFSH 低→雌激素低），故典型是「無月經（amenorrhea）」，並伴隨骨質疏鬆、心搏過緩、低血壓、低體溫、毳毛增生、電解質失衡。治療採多專業團隊：營養復健（須警惕再餵食症候群 refeeding syndrome）、認知行為治療、家族治療。記憶對比：厭食症「瘦到沒月經」，不是月經過多；貪食症（bulimia）則以暴食後代償行為為主。",[24,27,30,32],{"term":25,"count":26},"身體心像扭曲",3,{"term":28,"count":29},"神經性厭食症診斷準則",1,{"term":31,"count":29},"下視丘性閉經",{"term":33,"count":29},"認知行為治療",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-032","有關新生兒身體評估結果，下列何者需進一步追蹤評估？",32,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-maternal-pediatric-028","護理師提供父母親對自閉症兒童的照護指導，下列敘述何者不適當？",28,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-maternal-pediatric-070","有關化學治療藥物的副作用與護理措施，下列敘述何者正確？",70,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-034","有關評估 32 週妊娠糖尿病孕婦過去一個月間血糖控制之成效，下列何項檢測最佳？",34,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-068","有關扁桃腺切除術（tonsillectomy）後的護理措施，下列敘述何者錯誤？",68,108,"2026-09-04",1788510755589]