[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-106-1-產兒科護理學-052","nurse-106-1-maternal-pediatric-052",106,1,52,"李太太患有妊娠糖尿病，懷孕 38 週，自然娩出一女嬰，出生體重 3,800 公克，有關李小妹出生後的照顧，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需評估李小妹可能會有盜汗、呼吸喘、嗜睡情形","出生後 4 小時應測第一次血糖","當李小妹血糖低於 36 mg\u002FdL 應採取措施","應儘早餵食母奶或配方奶","B",null,[],"本題考點為妊娠糖尿病母親所生嬰兒(IDM)的照護,題目要選「錯誤」。依病生理,母體高血糖使胎兒長期高胰島素,出生後母源血糖中斷易發生低血糖,故應於出生後「30 分鐘至 1 小時內」測第一次血糖,選項B寫「4 小時」過晚,恐錯過低血糖高峰,為錯誤。評估盜汗、呼吸喘、嗜睡等低血糖徵象(A)正確;新生兒血糖低於界值(如\u003C36–40 mg\u002FdL)須介入(C)正確;儘早餵食母奶或配方奶以穩定血糖(D)亦正確。","IDM 的核心機轉是『高胰島素血症』:母體高糖→胎兒代償性高胰島素→出生後血糖驟降,故低血糖最易發生在出生後 1–2 小時內,監測必須早。這也連帶造成巨嬰、產傷、呼吸窘迫、低血鈣與紅血球增多。護理主軸是『早測血糖、早餵食、勤監測徵象』。抓住『餵食與監測都要早』,即可辨識 B『4 小時才驗』違背及時原則。",[24,27,30,32,34],{"term":25,"count":26},"胎兒高胰島素血症",3,{"term":28,"count":29},"新生兒低血糖",2,{"term":31,"count":10},"妊娠糖尿病嬰兒(IDM)",{"term":33,"count":10},"早期血糖監測",{"term":35,"count":10},"早期餵食",[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-1-maternal-pediatric-053","翰翰，剛出生，發現有吸入胎便，有關胎便吸入症候群，下列護理評估與判斷何者正確？",53,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-106-2-maternal-pediatric-069","郭小妹，妊娠週數 39 週又 4 天，自然產娩出，有關健康新生兒篩檢之時間安排，下列敘述何者正確？",69,{"webId":46,"stem":47,"number":26,"year":48,"session":29},"nurse-107-2-maternal-pediatric-003","懷孕 8 週的婦女，經常反覆思考「繼續工作」或「擔任專職母親」，此種心境較屬於下列何種孕期心理反應？",107,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-108-2-maternal-pediatric-041","有關青少年病人住院的護理，下列何者錯誤？",41,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-maternal-pediatric-005","第三妊娠期孕婦身體姿勢之敘述，下列何項正確？",5,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-039","容易出現經前症候群的女性生命週期為那一時期？",39,111,"2026-09-04",1788510694155]