[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-產兒科護理學-031","nurse-110-1-maternal-pediatric-031",110,1,31,"王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",{"A":14,"B":15,"C":16,"D":17},"50 公克口服葡萄糖耐受試驗","100 公克口服葡萄糖耐受試驗","糖化血色素","空腹血糖","C",null,[],"本題考點是糖尿病婦女孕前血糖控制狀況的評估檢查。考點在於糖化血色素（HbA1c）反映過去約2至3個月的平均血糖，最能代表長期血糖控制的良窳，故懷孕前欲了解整體控制狀況應優先檢驗HbA1c，故C正確。A的50公克葡萄糖耐受試驗是妊娠中期妊娠糖尿病的篩檢工具，用於孕期而非孕前評估長期控制。B的100公克葡萄糖耐受試驗是妊娠糖尿病的確診試驗，同屬孕期診斷用途。D的空腹血糖僅反映單一時點的血糖，無法代表長期控制趨勢。掌握「HbA1c反映長期平均血糖」的原理是解題核心。","各項血糖檢查對應不同時間窗：空腹與隨機血糖是即時點值、易受當下飲食影響；糖化血色素（HbA1c）反映紅血球壽命內（約2–3個月）葡萄糖與血紅素非酵素性糖化的累積程度，是評估長期控制的指標，孕前控制目標一般建議降至接近正常以降低胎兒先天畸形風險（高血糖致畸胎多發生於器官形成的前8週）。50克OGTT為孕24–28週篩檢、100克三小時OGTT為確診妊娠糖尿病。故孕前諮詢談的是「過去控制得好不好」，答案自然指向HbA1c；孕期篩檢診斷才輪到葡萄糖耐受試驗。",[24,26,28,30],{"term":25,"count":10},"糖化血色素HbA1c",{"term":27,"count":10},"長期血糖控制指標",{"term":29,"count":10},"孕前血糖與致畸胎",{"term":31,"count":10},"葡萄糖耐受試驗用途",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-032","陳女士妊娠 30 週，因有早產預兆而入院安胎，依醫囑使用 Ritodrine（Yutopar）靜脈點滴注射。有關此藥物的副作用，下列何者錯誤？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-048","有關為 4 歲的兒童進行身體檢查評估時，下列敘述何者最適當？",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-062","小佩，3 歲，因長期出現扁桃腺發炎，此次住院欲進行扁桃腺切除手術，有關手術後護理措施，下列敘述何者正確？",62,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-020","有關產褥期身心調適的敘述，下列何者錯誤？",20,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-044","有關白血病病童接受化學治療期間，依醫囑注射 Rasburicase 及 Allopurinol 的目的，下列敘述何者正確？",44,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-038","小芷，因發燒、感冒症狀就診，診斷為黴漿菌肺炎（mycoplasma pneumonia）而入院治療，下列敘述何者最適當？",38,114,3,"2026-09-04",1788510721860]