[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-111-2-產兒科護理學-031","nurse-111-2-maternal-pediatric-031",111,2,31,"有關妊娠合併糖尿病孕婦預後及其相關檢測的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"產後血糖值檢測仍超過標準值者，未來一定會罹患第一型糖尿病","具第二型糖尿病的危險因子，下胎懷孕即在第一次產檢就須進行篩檢","產後血糖值檢測正常者，在產後 6～12 週就不需再做糖尿病篩檢","妊娠期糖尿病與卵巢分泌雌性素有關，與下一胎再度罹患糖尿病的關聯性高","B",null,[],"本題考點在妊娠糖尿病（GDM）的預後與後續篩檢原則。有第二型糖尿病危險因子的孕婦，下一胎懷孕時應在「第一次產檢」即提早進行血糖篩檢，而非等到24～28週，故選B正確。考點在於高危因子者須提早於初次產檢篩檢。選項A「產後血糖仍超標者未來一定罹患第一型糖尿病」錯誤，GDM後續多進展為第二型而非第一型，且非「一定」；選項C「產後血糖正常者6～12週就不需再做篩檢」錯誤，GDM婦女即使產後正常，仍應於產後6～12週複檢並終身定期追蹤血糖，因日後罹患第二型風險顯著升高；選項D稱GDM與卵巢分泌雌性素有關，實際上GDM主因是胎盤分泌的抗胰島素荷爾蒙造成胰島素阻抗，機轉描述錯誤。三個錯項在糖尿病型別、追蹤必要性與致病機轉上皆有誤。","GDM病生理源於胎盤荷爾蒙（hPL、黃體素、皮質醇、胎盤生長激素）拮抗胰島素造成阻抗。產後多恢復，但約半數於日後發展為第二型糖尿病，故建議產後6～12週以75克OGTT複檢，之後每1～3年追蹤。有高危因子（肥胖、GDM史、家族史、多囊卵巢）者下胎應於初次產檢即篩檢，未過再於24～28週複檢。GDM亦增加下胎再發GDM風險。理解「胎盤主導的胰島素阻抗」是貫穿此類題的關鍵。",[24,27,30,32,34],{"term":25,"count":26},"胰島素阻抗",5,{"term":28,"count":29},"妊娠糖尿病預後",1,{"term":31,"count":29},"初次產檢篩檢",{"term":33,"count":29},"產後糖尿病追蹤",{"term":35,"count":29},"第二型糖尿病風險",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-032","有關孕婦前置胎盤的症狀敘述，下列何者錯誤？",32,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-maternal-pediatric-048","有關新生兒篩檢的敘述，下列何者錯誤？",48,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-062","有關氧氣帳使用之敘述，下列何者正確？",62,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-030","關於 9 歲學齡期兒童的發展及生長，下列敘述何者最適當？",30,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-115-1-maternal-pediatric-034","林小妹，27 週早產兒，出生體重 860 公克，出生後胸部 X 光呈現毛玻璃樣影像，有關呼吸窘迫症候群（respiratory distress syndrome）的醫療處置與護理措施，下列敘述何者正確？",34,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-048","筱華，5 歲，在幼兒園吃完午餐時，會模仿老師收拾餐盒，此行為表現依據艾瑞克森（Erikson）的理論，她的發展屬於何階段？",106,"2026-09-04",1788510739274]