[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-3-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-114-3-產兒科護理學-043","nurse-114-3-maternal-pediatric-043",114,3,43,"吳小妹，2 個月大，診斷為先天性甲狀腺功能低下（congenital hypothyroidism），下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"常出現腹瀉，著重臀部照護預防尿布疹","減少日曬時間，預防皮膚出現紅斑病變","常出現體溫過高，應保持低溫的環境","應留意聽力發展，必要時安排聽力檢查","D",null,[],"本題考點在於先天性甲狀腺功能低下的護理指導。甲狀腺素攸關腦部與神經發育,未及早治療會致智能與聽力損傷,故 D 正確,應留意聽力發展、必要時安排聽力檢查。A 錯,代謝低下常見便祕而非腹瀉;B 錯,此症與日曬、皮膚紅斑無關;C 錯,基礎代謝率下降使產熱減少而易體溫過低、怕冷,應保暖而非保持低溫環境。","先天性甲狀腺功能低下是可預防智能障礙的重要疾病,故納入新生兒篩檢必檢項目。典型表現為活動少、餵食差、便祕、黃疸延長、巨舌、臍疝、體溫低。治療以口服左旋甲狀腺素(levothyroxine)終身補充,愈早開始神經預後愈好,故早期診斷是關鍵。",[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},"神經與聽力發展",1,{"term":34,"count":32},"基礎代謝率下降",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-3-maternal-pediatric-044","林小妹，國小 5 年級，罹患第 1 型糖尿病（type 1 diabetes mellitus），有關糖尿病居家護理指導，下列敘述何者正確？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-115-2-maternal-pediatric-040","關於先天性心臟病病童一般術後的護理處置，下列敘述何者錯誤？",40,115,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-106-2-maternal-pediatric-004","有關精液分析檢查的說明，下列何者錯誤？①禁慾 3～7 天再採檢 ②使用保險套和性交中斷法來收集精液 ③留取精液後 2～3 小時內送至檢查地點 ④精液必須冷凍保存",4,106,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-107-2-maternal-pediatric-042","有關瀕死兒童的呼吸與心臟血管生理反應，下列敘述何者錯誤？",42,107,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-109-1-maternal-pediatric-006","一位第三孕期婦女，飲食為蛋奶素，有關孕期飲食指導，下列何者錯誤？",6,109,{"webId":62,"stem":63,"number":43,"year":64,"session":32},"nurse-110-1-maternal-pediatric-040","有關婦科體外放射治療後產生的腹瀉問題之護理指導，下列何者不適當？",110,"2026-09-04",1788510762617]