[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-106-2-產兒科護理學-031","nurse-106-2-maternal-pediatric-031",106,2,31,"有關糖尿病婦女於妊娠期間護理措施之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"監測胰島素的需要量，若需要量未隨孕程增加，表示飲食計畫成效佳","避免夜裡發生高血糖症，睡前點心不可含碳水化合物","妊娠末期可藉由每週一次無壓力試驗，來確認胎盤功能","由羊水中卵磷脂與抱合髓磷脂之比值，確認胎兒有無神經管缺損問題","C",null,[],"本題考點為妊娠合併糖尿病的產前監測。妊娠末期評估胎盤功能與胎兒安適,常用每週一次無壓力試驗(NST)監測胎心率對胎動的反應,故C正確。A錯誤:隨孕程進展胎盤荷爾蒙(抗胰島素)增加,胰島素需要量本應上升,未增加反而可能是胎盤功能不良的警訊;B錯誤:睡前點心應「含」碳水化合物以防夜間低血糖;D錯誤:羊水中卵磷脂\u002F抱合髓磷脂(L\u002FS)比值評估的是胎兒「肺成熟度」,神經管缺損應以甲型胎兒蛋白(AFP)評估。判準為各檢查的目的辨識。","糖尿病孕婦胰島素需求曲線:孕早期因噁心進食少可能下降,孕中後期因胎盤荷爾蒙(hPL、動情素、黃體素、皮質醇)抗胰島素而顯著上升,產後胎盤娩出後驟降。L\u002FS≥2表肺成熟,磷脂醯甘油(PG)出現更可靠。NST呈「反應型(reactive)」代表胎兒狀況良好。口訣:末期胰島素越用越多才正常。",[24,27,30,32],{"term":25,"count":26},"無壓力試驗NST",6,{"term":28,"count":29},"L\u002FS比值",4,{"term":31,"count":10},"胎盤泌乳素",{"term":33,"count":34},"妊娠糖尿病監測",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-maternal-pediatric-032","有關孕婦缺鐵性貧血之敘述，下列何者錯誤？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-107-1-maternal-pediatric-048","有關早產兒的臨床表徵，下列何者正確？",48,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-maternal-pediatric-062","兒童在瀕死過程中，出現呼吸逐漸由深變淺時，下列護理措施何者正確？",62,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-109-1-maternal-pediatric-020","有關待產的麻醉藥物減痛之敘述，下列何者正確？",20,109,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-110-1-maternal-pediatric-064","王小妹，6 個月大，有關心導管檢查前的準備，下列敘述何者適當？",64,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-018","一位足月懷孕的孕婦，因腹痛來院準備待產，護理師評估其疼痛的性質：子宮收縮壓力在 40 mmHg，收縮的頻率不規則，子宮頸沒有變化，疼痛與不適的部位侷限在腹部，協助來回走動時其疼痛可減輕，該產婦的子宮收縮是屬於那一種陣痛？",18,111,"2026-09-04",1788510699340]