[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"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。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840795998]