[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-109-2-產兒科護理學-008","nurse-109-2-maternal-pediatric-008",109,2,8,"林女士 28 歲，孕前體重 56 公斤，目前懷孕 20 週，此次產檢體重為 64 公斤，血壓為 148\u002F94 mmHg，尿蛋白 1+，下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"增加脂肪攝取","減少鹽分攝取","減少蛋白質攝取","增加鈉攝取","B",null,[],"本題考點是妊娠高血壓／子癇前症疑似個案的飲食護理指導。林女士血壓148\u002F94 mmHg、尿蛋白1+，符合妊娠高血壓疾患表現，護理指導宜減少鹽分攝取以協助控制水分滯留與血壓，故選項B正確。選項A增加脂肪攝取無助於血壓控制且增加負擔；選項C減少蛋白質攝取錯誤，尿中已流失蛋白、更需維持足夠優質蛋白攝取；選項D增加鈉攝取方向相反，會加重水鈉滯留與血壓上升。故四選項中唯一適當者為B。","妊娠高血壓疾患的診斷抓『20週後血壓大於等於140\u002F90 mmHg』，合併蛋白尿或器官侵犯即子癇前症。病生理核心是胎盤形成不良、血管內皮功能障礙導致全身血管痙攣、血壓上升與蛋白尿。飲食原則是適度限鈉（避免高鹽加工品）、維持足量蛋白質補償尿蛋白流失、均衡熱量。護理重點還包括監測血壓、體重與水腫、留意頭痛視力模糊上腹痛等惡化警訊，並警覺可能進展為子癇症（抽搐）或HELLP症候群。選項間的陷阱在於『該減的是鹽不是蛋白』，方向要分清。",[24,27,30,33,35],{"term":25,"count":26},"子癇前症",5,{"term":28,"count":29},"蛋白尿",4,{"term":31,"count":32},"妊娠高血壓疾患",1,{"term":34,"count":32},"限鈉飲食",{"term":36,"count":32},"優質蛋白攝取",[38,42,47,51,56,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-2-maternal-pediatric-009","罹患妊娠糖尿病婦女，努力控制飲食，讓飯後血糖值在正常範圍，此為魯賓（Rubin）所提出何種母性任務行為？",9,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-110-1-maternal-pediatric-025","陳女士產後小便尚未自解，護理師評估結果為尿瀦留，下列敘述何者正確？",25,110,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-110-2-maternal-pediatric-039","下列何者最可能與原發性月經疼痛相關？",39,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-2-maternal-pediatric-077","有關兒童罹患妥瑞氏症（Tourette’s disorder）的疾病特徵，下列敘述何者正確？",77,111,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-112-3-maternal-pediatric-041","小梨，4 歲，診斷為缺鐵性貧血，有關鐵劑（Imferon）注射，下列何者不適當？",41,112,3,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-114-1-maternal-pediatric-035","依據皮亞傑（Piaget）的認知發展理論，有關3〜5歲學齡前期兒童的死亡概念，下列敘述何者正確？",35,114,"2026-09-04",1788510717119]