[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-109-2-產兒科護理學-005","nurse-109-2-maternal-pediatric-005",109,2,5,"一位孕前 BMI 為 23.1 kg\u002Fm 2 的單胞胎孕婦，有關其孕期體重之護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"第一孕期如體重未增加，需要增加熱量攝取","第二孕期，體重增加每個月應少於 1 公斤","第三孕期，每個月體重增加可控制在 1. 5～2.0 公斤之間","整個孕期體重需增加控制在 7～10 公斤範圍內","C",null,[],"本題考點是依孕前BMI給予孕期體重增加的護理指導。孕前BMI 23.1屬正常範圍，建議整個孕期總增重約11.5～16公斤，第二、三孕期每週約增0.4～0.5公斤、換算每月約1.5～2.0公斤，故選項C正確。選項A錯在第一孕期本就增重極少，體重未明顯增加屬正常、不需刻意增加熱量；選項B錯在正常BMI第二孕期應每月增重約1.5～2公斤、而非少於1公斤；選項D錯在正常BMI總增重應為11.5～16公斤，7～10公斤偏低（較適用過重者）。故正解為C。","孕期增重指引以孕前BMI分層記憶：體重過輕（小於18.5）建議增12.5～18公斤；正常（18.5～24.9）增11.5～16公斤；過重（25～29.9）增7～11.5公斤；肥胖（大於30）增5～9公斤。增重節奏上，第一孕期胎兒尚小、以母體組織準備為主，總增約0.5～2公斤即可；第二、三孕期胎兒快速成長，正常BMI者每週約增0.4～0.5公斤最理想。臨床意義在於增重不足與胎兒生長遲滯、低出生體重相關，過度增重則增加妊娠糖尿病、巨嬰與難產風險，故個別化指導須先看BMI再談速率。",[24,26,29,31],{"term":25,"count":10},"孕前BMI分層",{"term":27,"count":28},"孕期體重增加建議",1,{"term":30,"count":28},"各孕期增重速率",{"term":32,"count":28},"正常體重孕婦",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-006","有關生產計畫書，下列敘述何者不適當？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-maternal-pediatric-022","丁女士 30 歲，第二胎，現為產後第二天，其宮底位於臍下一指，惡露呈紅色量中，主訴昨夜睡眠差且感宮縮疼痛不適，當新生兒推出餵奶時，表示想休息並拒絕餵奶，此行為正確的解釋是：",22,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-036","有關更年期婦女使用荷爾蒙補充療法的禁忌，下列何者錯誤？",36,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-2-maternal-pediatric-074","陳小弟，4 歲，診斷急性腎絲球性腎炎（acute glomerulonephritis），下列護理指導何者最適當？",74,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-038","有關氣喘（asthma）之病因及病理變化，下列敘述何者正確？",38,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-114-1-maternal-pediatric-032","下列何者不屬於FLACC行為疼痛評估量表的向度？",32,114,"2026-09-04",1788510717103]