[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-106-1-產兒科護理學-006","nurse-106-1-maternal-pediatric-006",106,1,6,"有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"腎絲球的過濾率增加，使腎臟對糖分吸收閾值升高","腎小管的再吸收速度增加，以代償腎絲球活動的減少","腎臟對葡萄糖的再吸收作用速率是不變的","腎絲球的過濾率增加，使得血液中尿素氮（BUN）含量增加","C",null,[],"本題考點為妊娠期腎臟對葡萄糖再吸收的變化。依腎生理,妊娠時腎絲球過濾率(GFR)增加,但腎小管對葡萄糖的再吸收速率維持不變、無法等比例增加,以致濾過的葡萄糖超過再吸收能力而出現生理性糖尿,故選再吸收作用速率不變的C。選項A稱糖分吸收閾值升高,方向相反,實際是閾值下降;選項B稱腎小管再吸收增加以代償GFR減少,錯誤,妊娠GFR是增加而非減少;選項D稱BUN增加,錯誤,GFR增加反使BUN與肌酸酐清除加快、血中濃度下降。","妊娠腎臟關鍵記憶:GFR上升約50%,但葡萄糖再吸收上限(Tm)不變,兩者落差造成「生理性糖尿」,故孕婦驗尿驗到糖不一定是妊娠糖尿病,須以口服葡萄糖耐量試驗(OGTT)確診。同理GFR上升使血中BUN、肌酸酐、尿酸的正常參考值都比未孕時低。",[24,27,29,31],{"term":25,"count":26},"生理性糖尿",2,{"term":28,"count":10},"腎絲球過濾率GFR",{"term":30,"count":10},"葡萄糖再吸收閾值",{"term":32,"count":10},"妊娠腎功能變化",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-007","陳女士，妊娠 32 週，接受腹部超音波掃描發現胎兒身長體重與 1 個月前相同，估算約為 28 週，胎盤功能正常，所有檢查數值均在正常範圍，但陳女士體重並未增加。對此結果陳女士因焦慮而哭泣，下列何項敘述正確？",7,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-maternal-pediatric-023","有關產後腸蠕動功能的評估，下列何者錯誤？",23,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-maternal-pediatric-037","有關子宮肌瘤處置之敘述，下列何者正確？",37,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-075","小明，15 歲，因慢性腎衰竭而引發副甲狀腺功能亢進（Hyperparathyroidism），血鈣質為 12 mg\u002FdL，骨骼 X 光顯示脫鈣現象。相關的護理措施，下列何者錯誤？",75,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-maternal-pediatric-039","林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",39,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-maternal-pediatric-073","嬰兒唇顎裂手術後的護理照護注意事項，下列敘述何者錯誤？",73,110,"2026-09-04",1788510693590]