[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-005":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":26},"nurse-107-1-產兒科護理學-005","nurse-107-1-maternal-pediatric-005",107,1,5,"王女士，孕前 BMI 值為 24，目前懷孕 25 週，體重較孕前增加 3 公斤，有關護理師的回應，下列何者較為適當？",{"A":14,"B":15,"C":16,"D":17},"「您體重增加不足，對小孩不好」","「第二孕期要增加 5 公斤較適當」","「您體重增加不足，要增加蛋白質攝取」","「您體重增加不足，您目前吃的如何？」","D",null,[],"本題考點為治療性溝通中「先評估、後衛教」的原則。王女士孕前BMI 24屬正常範圍偏上,懷孕25週增重3公斤,護理師在給建議前應先蒐集資料、了解實際飲食狀況,故D「您目前吃的如何?」以開放式問句先評估最為適當。A直接評斷「對小孩不好」帶指責語氣、易引發焦慮;B逕自給定「增加5公斤」的數字未先了解個別狀況;C未評估即斷定要補充蛋白質。三者都跳過評估直接下指令,不符治療性溝通的先傾聽再介入原則。","護理過程首步是評估(assessment),溝通技巧上以開放式問句蒐集主觀資料,避免封閉式或帶價值判斷的回應。孕期理想增重依孕前BMI而定:體重過輕(\u003C18.5)增12.5–18公斤、正常(18.5–24.9)增11.5–16公斤、過重增7–11.5公斤。第25週增3公斤是否足夠須結合孕前基準與飲食內容判斷,故先問「吃得如何」才能個別化衛教。記憶:好的護病溝通「先問、先聽,再教」。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":29},"開放式問句",3,{"term":31,"count":10},"先評估後介入",{"term":33,"count":10},"孕期理想增重",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-maternal-pediatric-006","有關妊娠期的營養評估與指導，下列何者錯誤？",6,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-maternal-pediatric-022","有關結紮手術之敘述，下列何者正確？",22,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,108,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-1-maternal-pediatric-074","下列何者血液疾病不屬於體染色體隱性遺傳？",74,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-maternal-pediatric-038","下列何者不是預防新生兒臍帶感染的護理措施？",38,110,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-111-2-maternal-pediatric-072","小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",72,111,"2026-09-04",1788510703277]