[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-007":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-007","nurse-106-1-maternal-pediatric-007",106,1,7,"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？",{"A":14,"B":15,"C":16,"D":17},"這是正常的誤差，請陳女士不要著急可不予理會","鼓勵陳女士正常飲食及充足睡眠，並接受進一步檢查","只要胎兒沒有外觀上畸形，發育遲滯沒有關係","胎兒體重小於妊娠週數較有利於自然生產","B",null,[],"本題考點為胎兒生長遲滯(IUGR)情境下的護理評估與衛教。依IUGR處置原則,胎兒一個月未增長、體重落後估算週數,提示可能生長受限,應以改善母體營養與休息並安排進一步檢查釐清病因為主,故選鼓勵正常飲食、充足睡眠並接受進一步檢查的B。選項A稱屬正常誤差可不予理會,忽略生長遲滯的病理意義;選項C稱只要無外觀畸形發育遲滯沒關係,忽略IUGR與周產期併發症的關聯;選項D稱體重小於週數有利自然生產,無實證且誤導,故皆不正確。","IUGR分對稱型(早期、常與染色體或感染有關,頭圍體重同步落後)與非對稱型(晚期、多因胎盤功能不足,頭圍保留、腹圍體重先落後)。監測工具即前題的BPP與臍動脈都卜勒血流。本題母體體重未增加提示營養攝取或胎盤灌流問題,故先補營養並進一步檢查最合理。",[24,27,29,31],{"term":25,"count":26},"產前評估",2,{"term":28,"count":10},"胎兒生長遲滯IUGR",{"term":30,"count":10},"母體營養",{"term":32,"count":10},"胎盤功能",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-008","有關胎兒呼吸系統發育之敘述，下列何者正確？",8,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-maternal-pediatric-024","林女士採陰道生產，會陰四度裂傷。在產後第 2 天可以教導她執行何項產後運動？",24,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-maternal-pediatric-038","全子宮切除手術之術前腸道準備，下列何者不恰當？",38,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-076","副甲狀腺功能低下（Hypoparathyroidism）的兒童會出現的臨床表徵，下列何者正確？",76,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",40,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-maternal-pediatric-074","王小弟，6 週大，每次餵奶後出現噴射式嘔吐，被診斷為幽門狹窄（pyloric stenosis），下列敘述何者正確？",74,110,"2026-09-04",1788510693597]