[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-005":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-005","nurse-108-1-maternal-pediatric-005",108,1,5,"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？",{"A":14,"B":15,"C":16,"D":17},"第一孕期可採用極低熱量飲食","整個孕期體重宜增加 5～9 公斤","第二孕期開始，可執行減重計畫","宜在第三孕期再開始增加體重","B",null,[],"本題考點為孕前肥胖（BMI 30）婦女的孕期體重增加建議。依醫學研究院的孕期體重增加準則，孕前 BMI≥30 屬肥胖，單胞胎整個孕期建議增重約 5～9 公斤，故選 B。選項 A 第一孕期採極低熱量飲食錯誤，孕期不應以極低熱量或生酮方式限制，恐酮體升高影響胎兒發育。選項 C 第二孕期開始減重錯誤，懷孕期不建議刻意減重，以免營養與胎兒生長受限，肥胖孕婦是「限制增幅」而非「減重」。選項 D 第三孕期才開始增重錯誤，孕期體重應全程漸進、穩定增加，而非集中於後期。故正解在於控制總增幅於 5～9 公斤。","孕期體重增加建議依孕前 BMI 分層（單胞胎）：體重過輕（＜18.5）增 12.5～18 公斤、正常（18.5～24.9）增 11.5～16、過重（25～29.9）增 7～11.5、肥胖（≥30）增 5～9。原則是全程漸進，第二、三孕期每週穩定增加，不節食也不放任。肥胖孕婦增重過多會提高妊娠糖尿病、子癇前症與巨嬰風險。記憶口訣：越胖增越少，肥胖組五到九。連結概念：孕前 BMI 分層、妊娠糖尿病風險、巨嬰症。",[24,27,29,31],{"term":25,"count":26},"孕前BMI分層",2,{"term":28,"count":10},"孕期體重增加準則",{"term":30,"count":10},"肥胖組5至9公斤",{"term":32,"count":10},"孕期不減重",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-006","有關胚胎附屬器官發育的敘述，下列何者正確？",6,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-maternal-pediatric-022","有關母嬰親善醫院的 10 項措施，下列何者可直接促進親子依附關係？",22,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-036","有關不孕症夫妻性生活的護理指導，下列敘述何者錯誤？",36,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-maternal-pediatric-074","兒童是易受輪狀病毒感染的高危險群，為預防輪狀病毒感染，有關家屬的護理指導，下列敘述何者錯誤？",74,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-maternal-pediatric-038","有關精液檢查的敘述，下列何者錯誤？",38,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-maternal-pediatric-072","小芳，17 歲，即將準備接受造血幹細胞移植，下列敘述何者錯誤？",72,112,"2026-09-04",1788510710254]