[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"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。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840797975]