[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-108-1-產兒科護理學-004","nurse-108-1-maternal-pediatric-004",108,1,4,"懷孕 24 週婦女接受產檢，血壓值：124\u002F80 mmHg、未有水腫，尿液試紙的白蛋白顯現痕跡（trace），下列解釋何者最適當？",{"A":14,"B":15,"C":16,"D":17},"子癇前症早期徵象","腎微血管充血所致","腎小管對蛋白質吸收增加所致","攝取過多水分所致","B",null,[],"本題考點為孕期尿蛋白微量（trace）的生理性解釋。孕婦血壓 124\u002F80 正常、無水腫，僅尿蛋白呈微量痕跡；懷孕期腎血流量與腎絲球過濾率大幅增加，腎微血管充血使少量蛋白濾出，屬正常生理變化，故選 B。選項 A 子癇前症早期徵象錯誤，因子癇前症須有高血壓（收縮壓≥140 或舒張壓≥90）合併蛋白尿，本題血壓正常且無水腫，不符診斷。選項 C 腎小管吸收增加錯誤，方向相反，若吸收增加反而尿中蛋白更少。選項 D 攝取過多水分錯誤，水分過多只會稀釋尿液，並非蛋白尿來源。因此在血壓正常下，微量蛋白尿以腎血流增加最能解釋。","懷孕期腎臟血流動力學顯著改變：腎血漿流量與腎絲球過濾率約增加 40～50%，過濾負荷上升使少量蛋白與糖分濾出，故孕期輕微蛋白尿、糖尿可屬生理性。子癇前症的診斷門檻為妊娠 20 週後新發高血壓合併蛋白尿或器官損傷，關鍵在「高血壓」；本題血壓正常即可排除。記憶重點：孕期腎絲球過濾率上升＝微量蛋白、糖可生理性出現；有血壓才談子癇前症。連結概念：腎絲球過濾率、子癇前症診斷準則、孕期生理適應。",[24,27,29,31],{"term":25,"count":26},"子癇前症診斷準則",2,{"term":28,"count":10},"孕期腎絲球過濾率上升",{"term":30,"count":10},"生理性蛋白尿",{"term":32,"count":10},"腎血流增加",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-005","一位單胞胎孕前 BMI 為 30 的孕婦，其飲食與體重的護理指導，下列何者最適當？",5,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-maternal-pediatric-021","劉女士 G 2 P 2 ，陰道生產，產後第 2 天主訴：「我的子宮收縮怎麼這麼痛」，下列何者錯誤？",21,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-035","有關萎縮性陰道炎之敘述，下列何者錯誤？",35,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-maternal-pediatric-073","小強，男生，1 個月大，因泌尿道感染住院，有關此疾病敘述與照護，下列何者錯誤？",73,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-maternal-pediatric-037","女性於經期不適時建議可補充的維生素為何？",37,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-maternal-pediatric-071","有關苯酮尿症病童之臨床症狀，下列敘述何者正確？",71,112,"2026-09-04",1788510710250]