[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-115-2-產兒科護理學-046","nurse-115-2-maternal-pediatric-046",115,2,46,"小金，5 個月大，罹患甲狀腺功能低下症，目前接受 L-thyroxine 治療，有關小金的居家照護，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"飲用適量鮮榨果汁，預防便秘","適度照射陽光，幫助骨骼成長","監測是否出現甲狀腺毒性反應","餵食適量的全蛋，預防發生貧血","D",null,[],"本題考點在於先天性甲狀腺功能低下症嬰兒的居家照護細節。五個月大嬰兒的營養仍以奶類為主,全蛋中的蛋白過敏原性高,並不適合此階段作為預防貧血的食物來源,故 D 錯誤。A 適當,甲狀腺功能低下常伴腸蠕動變慢與便秘,適量果汁可補充水分與纖維。B 適當,適度日照促進維生素 D 合成,有助改善此症常見的骨骼成熟延遲。C 適當,L-thyroxine 劑量過高會出現心跳過快、易怒、多汗、腹瀉等甲狀腺毒性反應,需持續監測。","延伸病生理:先天性甲狀腺功能低下若未及早治療會造成不可逆的智能障礙與生長遲滯,因此新生兒篩檢以 TSH 為指標,確診後盡早開始 L-thyroxine 並終身追蹤。早期表徵包含餵食差、嗜睡、哭聲低啞、黃疸延長、舌頭大、腹脹便秘、囟門偏大與肌肉張力低下。給藥要點是每日固定時間、空腹給予,並與豆類配方、鐵劑、鈣片與高纖食物間隔開來,以免影響吸收;劑量須隨體重與生長調整,靠定期追蹤 TSH 與游離 T4 校正,過量的表現就是甲狀腺毒性症狀。關於全蛋,傳統教科書把蛋白列為較晚引入的高致敏食物,近年副食品指引則不主張過度延後引入,但五個月大以奶類為主食、且貧血預防並非全蛋角色這兩點不變,這也是本題可判定的依據。可連結概念:新生兒篩檢項目、副食品添加原則、甲狀腺功能低下與高下症狀對照。",[24,27,30,33,35],{"term":25,"count":26},"新生兒篩檢",13,{"term":28,"count":29},"先天性甲狀腺功能低下症",3,{"term":31,"count":32},"L-thyroxine 給藥與吸收",1,{"term":34,"count":32},"甲狀腺毒性反應監測",{"term":36,"count":32},"嬰兒副食品添加原則",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-115-2-maternal-pediatric-047","小志，6 個月，男嬰，半夜突然大哭，雙腳屈膝、臉色蒼白、嘔吐物中含膽汁，數分鐘後緩解，20 分鐘後又再次出現上述症狀。檢查尿布，發現大便中含血與黏膜。根據上述症狀，小志可能有什麼健康問題？",47,{"webId":43,"stem":44,"number":26,"year":45,"session":10},"nurse-106-2-maternal-pediatric-013","下列何者為運用門閾理論來緩解宮縮疼痛不適的措施？",106,{"webId":47,"stem":48,"number":49,"year":50,"session":32},"nurse-107-1-maternal-pediatric-027","有關新貝拉德（New Ballard Score）新生兒神經肌肉成熟度的評估方法，下列何者正確？",27,107,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-108-1-maternal-pediatric-065","有關囊性纖維變性（Cystic Fibrosis）之敘述，下列何者錯誤？",65,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-maternal-pediatric-029","有關神經系統反射的敘述，下列何者正確？①擁抱反射（moro reflex）是將新生兒突然改變姿勢後，四肢對稱性外展且伸直 ②尋乳反射（rooting reflex）是觸碰新生兒嘴角時出現舌頭伸出的現象，表示新生兒飢餓，應該餵食 ③巴賓斯基反射（Babinski reflex）是以手指自新生兒腳跟沿外側朝趾方向刺激，新生兒腳趾會內縮 ④頸部強直反射（tonic neck reflex）是新生兒平躺時，將頭轉向一側，轉向的那一側手腳會伸展，對側會屈曲狀",29,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-110-2-maternal-pediatric-063","張小妹，5 個月大，因肺部嚴重感染而住院，現有氣管內管留置，呼吸道分泌物黏稠，有關執行抽痰技能與應注意的事項，下列敘述何者正確？",63,110,"2026-08-06",1787299007365]