[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-111-1-產兒科護理學-008","nurse-111-1-maternal-pediatric-008",111,1,8,"在妊娠期間，下列何項腎臟功能是降低的？",{"A":14,"B":15,"C":16,"D":17},"腎血漿流量（RPF）","腎小管的再吸收速度","對糖分吸收的閾值","腎臟的排尿量","C",null,[],"本題考點在於妊娠期腎臟生理的變化。依孕期生理適應,腎血漿流量(RPF)與腎絲球過濾率(GFR)皆「增加」,而腎小管對葡萄糖的再吸收能力相對跟不上濾過量增加,使「對糖分吸收的閾值下降」,因此孕婦即使血糖正常也常出現生理性糖尿,C 為降低者,正確,為本題答案。A 腎血漿流量增加,並非降低。B 腎小管再吸收速度整體是增加的(如鈉水再吸收),並非降低。D 因 GFR 與 RPF 增加,腎臟排尿量傾向增加,並非降低。","孕期腎臟生理適應:血容量增加使 RPF 與 GFR 上升約 40～50%,故 BUN、Cr 反而下降。腎小管葡萄糖再吸收有上限(腎糖閾),當濾過的葡萄糖量因 GFR 增加而超過再吸收能力,就出現生理性糖尿,故孕婦尿糖陽性不一定代表糖尿病,需以血糖與 OGTT 判斷。集尿系統擴張與輸尿管蠕動減慢也使孕婦易泌尿道感染。",[24,27,30,32,34],{"term":25,"count":26},"腎絲球過濾率",3,{"term":28,"count":29},"生理性糖尿",2,{"term":31,"count":10},"妊娠期腎臟生理",{"term":33,"count":10},"腎血漿流量",{"term":35,"count":10},"腎糖閾下降",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-maternal-pediatric-009","陳女士，懷孕 28 週，有一位 4 歲的孩子小明。小明對陳女士說：「我討厭媽媽肚子裡面的小妹妹，因為媽媽只關心她，都不和我玩」。下列護理師回應，何者最適當？",9,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-maternal-pediatric-025","吳女士，G 1 P 1 ，產後第三天，計畫採純母乳哺育，詢問：「哺乳是否可以避孕？」下列護理指導何者最適當？",25,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-maternal-pediatric-039","有關尖型濕疣（菜花）的敘述，下列何者錯誤？",39,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-maternal-pediatric-027","小明，16歲，高中一年級，在校成績低落、情緒不穩、易怒、缺課，曾表明想從世界消失。就醫後診斷為青少年憂鬱症。媽媽詢問護理師如何幫助小明時，下列敘述何者錯誤？",27,113,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-2-maternal-pediatric-031","有關嬰兒安全給藥原則之敘述，下列何者錯誤？",31,114,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-1-maternal-pediatric-025","預防產後血栓靜脈炎發生的護理措施，下列何項錯誤？",106,"2026-09-04",1788510735388]