[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":25},"nurse-106-1-產兒科護理學-032","nurse-106-1-maternal-pediatric-032",106,1,32,"沈女士，21 歲，懷孕 30 週產檢時發現血壓 150\u002F100 mmHg，經診治與追蹤 1 個月後，血壓仍維持在 150\u002F100～160\u002F110 mmHg 之間，34 週產檢時血壓 160\u002F100 mmHg 合併尿蛋白(+)及水腫(+)情形，根據這些臨床徵候，沈女士可能罹患下列何項合併症？",{"A":14,"B":15,"C":16,"D":17},"腎性高血壓","子癇前症","妊娠惡化性高血壓","腦中風前症候群","B",null,[],"本題考點為妊娠高血壓疾病的診斷分類。依診斷準則,妊娠 20 週後新發生的高血壓(收縮壓≥140 或舒張壓≥90 mmHg)合併尿蛋白,即為子癇前症;沈女士 30 週起持續 150\u002F100 以上、34 週更出現尿蛋白(+)及水腫,完全符合,故選B。腎性高血壓(A)屬孕前既有的次發性高血壓,病史不符;妊娠惡化性高血壓(C)並非正式診斷名詞,且缺尿蛋白這一關鍵指標;腦中風前症候群(D)並非妊娠合併症的診斷分類,屬混淆用詞。辨識「高血壓+尿蛋白」是本題核心。","子癇前症與妊娠高血壓的分野在於「有無尿蛋白或器官侵犯」:單純高血壓無蛋白尿為妊娠高血壓,一旦加上尿蛋白即升級為子癇前症,再出現抽搐則為子癇症。嚴重指標包括血壓≥160\u002F110、血小板下降、肝腎功能異常、視覺症狀、上腹痛。病生理核心是胎盤螺旋動脈重塑不良導致全身血管內皮功能障礙,故是多器官疾病而非單純血壓問題。",[24,26,28,30,32],{"term":15,"count":25},5,{"term":27,"count":10},"妊娠高血壓疾病",{"term":29,"count":10},"尿蛋白",{"term":31,"count":10},"妊娠 20 週後高血壓",{"term":33,"count":10},"胎盤血管內皮功能障礙",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-033","承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",33,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-maternal-pediatric-049","李小妹，4 歲，在幼兒園上課時，經常是笑口常開，對於新同學與老師、玩具或活動均可以很快地接受，此行為表現為嬰幼兒氣質評估中的那一種項目？",49,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-maternal-pediatric-063","有關罹患甲基丙二酸血症（Methylmalonic Acidemia）的患童，下列敘述何者錯誤？",63,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-maternal-pediatric-021","劉女士 G 2 P 2 ，陰道生產，產後第 2 天主訴：「我的子宮收縮怎麼這麼痛」，下列何者錯誤？",21,108,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-109-2-maternal-pediatric-065","有關胎血循環的敘述，下列何者錯誤？",65,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-019","護理師進行產後子宮復舊評估時，下列何者正確？",19,111,"2026-09-04",1788510693886]