[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-046":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":26},"nurse-114-2-產兒科護理學-046","nurse-114-2-maternal-pediatric-046",114,2,46,"有關新生兒先天性甲狀腺功能低下症（congenital hypothyroidism）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可能與母親服用抗甲狀腺藥物有關","一出生即明顯可見四肢特別短小","儘量在 2 週內提供適量甲狀腺素","血液中甲狀腺刺激素（TSH）異常增高","B",null,[],"本題考點在於先天性甲狀腺功能低下症的病因與臨床表徵。此症因胎兒期甲狀腺素合成不足，甲狀腺素為神經與骨骼發育所必需，缺乏會造成生長遲緩與智能障礙。本題為反向題，錯誤敘述為 B：患兒出生時外觀多正常，四肢短小、粗糙面容、巨舌等典型徵象是「數週至數月後」才逐漸顯現，並非一出生即明顯可見，故 B 錯而為答案。A 正確，母親服用抗甲狀腺藥物（如 PTU）可經胎盤抑制胎兒甲狀腺；D 正確，甲狀腺素低下會經負回饋使腦下垂體分泌 TSH 代償性異常增高，此為新生兒篩檢核心指標；C 正確，及早（約 2 週內）補充甲狀腺素方能保住腦部發育、避免不可逆智能損傷。","記憶重點：先天性甲低靠新生兒足跟血篩檢 TSH，黃金治療窗在出生後 2 週內給予 levothyroxine，延遲即造成呆小症（cretinism）。負回饋軸：T4 低→下視丘 TRH↑→腦下垂體 TSH↑，故原發性甲低表現為「T4 低、TSH 高」，可與次發性（TSH 亦低）區分。",[24,27,30,32],{"term":25,"count":26},"先天性甲狀腺功能低下症",3,{"term":28,"count":29},"新生兒 TSH 篩檢",1,{"term":31,"count":29},"甲狀腺素負回饋",{"term":33,"count":29},"呆小症",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-047","關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",47,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-maternal-pediatric-043","小彤接受化學治療中，其白血球檢驗值如下：白血球 1,000 \u002FµL、成熟嗜中性白血球（segment）26%、不成熟嗜中性白血球（band）2%、淋巴球 68%、單核球 4%，小彤的絕對嗜中性白血球（Absolutely Neutrophil Count, ANC）值為多少？",43,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-maternal-pediatric-037","王先生與太太結婚 3 年一直沒有孩子，醫師請他接受精液分析檢查，有關收集精液之護理指導，下列何者正確？",37,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-maternal-pediatric-075","林小弟，5 歲，接受化學治療後出現食慾下降、噁心嘔吐且體重減輕。有關護理措施之敘述，下列何者錯誤？",75,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-maternal-pediatric-039","有關精液檢查之護理指導，下列何者正確？",39,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-maternal-pediatric-073","王小弟腹瀉三天，每天高達 10 次，體重從 10 公斤降至 9.2 公斤，尿量也減少。請問王小弟的脫水程度為何？",73,109,"2026-09-04",1788510760330]