[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-033","nurse-106-2-maternal-pediatric-033",106,2,33,"有關妊娠糖尿病的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"採飲食控制或合併 insulin 使用","易發生胎兒畸形或巨嬰","宜控制糖化血色素在 7.5%以下","孕期高血糖常導致酮酸中毒症","C",null,[],"本題考點為妊娠糖尿病的血糖控制目標,屬找錯誤題。妊娠期為降低巨嬰、畸形與併發症風險,血糖控制須較嚴格,糖化血色素(HbA1c)目標一般建議控制在6%左右(至多低於6.5%),「7.5%以下」過於寬鬆,故C錯誤為答案。A採飲食控制、必要時合併insulin(口服降糖藥多不用於孕期),正確;B高血糖致器官形成期畸形與後期巨嬰,正確;D嚴重高血糖與胰島素不足可致糖尿病酮酸中毒(DKA),正確。判準為妊娠期HbA1c目標較一般人嚴格。","妊娠血糖目標:空腹≤95 mg\u002FdL、餐後1小時≤140、2小時≤120;HbA1c低於6%可最大化降低先天畸形風險。孕婦DKA可在較低血糖值即發生,且危及胎兒。巨嬰機轉:母體高血糖使胎兒高胰島素(胰島素為生長因子)導致過度生長。口訣:懷孕血糖抓更緊,A1c破6就不行。",[24,27,29,31],{"term":25,"count":26},"妊娠糖尿病",7,{"term":28,"count":10},"糖化血色素",{"term":30,"count":10},"糖尿病酮酸中毒",{"term":32,"count":33},"巨嬰",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-034","下列何者為嚴重產後出血的徵象？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-107-1-maternal-pediatric-050","有關為白血病病童輸注紅血球濃縮液（packed RBC）的護理敘述，下列何者錯誤？",50,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-maternal-pediatric-064","小鳴，6 個月大，腋下、鼠蹊、頸部長出膿皰後結痂脫屑，求醫確診為膿皰病，下列處置何者不適當？",64,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-109-1-maternal-pediatric-022","有關哺餵母乳婦女產後排卵與月經之生理變化，下列敘述何者正確？",22,109,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-110-1-maternal-pediatric-066","有關胎兒出生後的心臟血管變化，下列敘述何者錯誤？",66,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-020","產後第二天純母乳哺餵的母親詢問：「我的寶寶兩餐之間是否需要餵開水？」下列護理指導何者最適當？",20,111,"2026-09-04",1788510699351]