[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-034":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-107-2-產兒科護理學-034","nurse-107-2-maternal-pediatric-034",107,2,34,"有關評估 32 週妊娠糖尿病孕婦過去一個月間血糖控制之成效，下列何項檢測最佳？",{"A":14,"B":15,"C":16,"D":17},"飯前空腹血糖值是否均在正常範圍內","飯後一小時之血糖值是否均在正常範圍內","糖化血色素值是否均在正常範圍內","胎兒體重的變化，是否能維持在妊娠週數之 50 百分位","C",null,[],"本題考點在評估血糖「過去一段期間」整體控制的最佳指標。糖化血色素(HbA1c)反映紅血球壽命約 120 天內葡萄糖與血色素非酵素性結合的比例,可代表過去約 2–3 個月的平均血糖,恰好涵蓋題目「過去一個月」的長期控制成效,故選 C。A、B 的空腹與飯後單次血糖只反映抽血當下瞬時值,無法呈現整體趨勢;D 的胎兒體重百分位受多因素影響、屬間接且延遲的結果指標,無法精確量化血糖控制。故評估累積控制成效以 HbA1c 最佳。","HbA1c 為血色素 β 鏈末端纈胺酸與葡萄糖的穩定糖化產物,不受抽血當下飲食影響。妊娠糖尿病理想 HbA1c 常設\u003C6%。要注意妊娠期紅血球更新快、血液稀釋,HbA1c 可能略低估,故臨床仍需搭配自我血糖監測(SMBG）。對比:飯前\u002F飯後血糖=即時快照,HbA1c=長期平均,果糖胺=近 2–3 週。",[24,27,29,32],{"term":25,"count":26},"妊娠糖尿病",7,{"term":28,"count":10},"糖化血色素",{"term":30,"count":31},"血糖平均值",1,{"term":33,"count":31},"紅血球壽命",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-035","正在接受第 2 次腹腔內化學治療的卵巢癌病人，主訴一直覺得噁心，下列回應何者最適當？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-maternal-pediatric-051","10 歲的大華罹患癲癇（Epilepsy）以口服 phenobarbital（luminal）藥物治療，護理人員給予大華母親的護理指導，下列何者正確？",51,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-065","依照衛生福利部疾病管制署 106 年公布之「我國現行兒童預防接種時程」，卡介苗（BCG）之建議接種時間為：",65,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-110-1-maternal-pediatric-023","有關母乳哺餵對母親的影響，下列護理指導何者正確？",23,110,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-111-1-maternal-pediatric-067","有關尚未接受治療之缺鐵性貧血（iron deficiency anemia）及地中海型貧血（thalassemia）病童血液檢驗之敘述，下列何者正確？",67,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-021","李女士，產後三週，表示產後至今體重增加 5 公斤，失眠睡不好，動作遲緩且嗜睡，對任何事物及新生兒照護都缺乏興趣，覺得很有罪惡感，加上自己坐月子缺乏幫手，常常出現想死的念頭。針對李女士的情形，下列評估何者最適當？",21,112,"2026-09-04",1788510725947]