[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-產兒科護理學-031","nurse-112-1-maternal-pediatric-031",112,1,31,"一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",{"A":14,"B":15,"C":16,"D":17},"泌乳激素（Prolactin）","人類胎盤泌乳激素（human Placental Lactogen, hPL）","人類絨毛膜促性腺激素（human Chorionic Gonadotropin, hCG）","促腎上腺皮質素（Andrenocorticotropic hormone, ACTH）","B",null,[],"本題考點為妊娠期胰島素需求增加的荷爾蒙機轉。依據人類胎盤泌乳激素(hPL)具有抗胰島素(拮抗)作用的藥理特性,其分泌量隨胎盤成長與妊娠週數增加而上升,使母體胰島素阻抗漸增,故胰島素需求量隨週數增加,選 B。A 泌乳激素主司產後泌乳,非孕期血糖阻抗主因;C hCG 於孕早期高峰後下降,主要維持黃體,與後期胰島素需求遞增不符;D ACTH 刺激腎上腺皮質分泌皮質醇,雖皮質醇亦有升糖作用,但孕期胰島素阻抗遞增最直接相關者為 hPL。故選 B。","hPL(又稱 human chorionic somatomammotropin, hCS)由胎盤合體滋養層分泌,作用是促進母體脂肪分解、拮抗胰島素以確保葡萄糖優先供應胎兒,這也是妊娠糖尿病多在中後期出現、且胰島素需求隨週數上升的根本原因。記憶:胎盤愈大→hPL 愈多→阻抗愈強→胰島素需求愈高。分娩後胎盤娩出,阻抗迅速解除,胰島素需求驟降。",[24,27,30],{"term":25,"count":26},"妊娠糖尿病",7,{"term":28,"count":29},"胰島素阻抗",5,{"term":31,"count":10},"人類胎盤泌乳激素 hPL",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-032","有關胎盤碎片殘留所致產後出血的敘述，下列何者正確？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-maternal-pediatric-048","小桃，8 歲，因氣喘發作住院接受治療，主訴：「因為我愛吃冰，然後出去玩沒戴口罩，也沒穿外套，所以就發作了」，下列何者為小桃此階段「疾病概念」發展的特色？",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-012","王女士，初產婦，陰道生產，採純母乳哺育，產後6週重返職場的一週後，主訴發燒38℃，右側乳房情況如圖所示，觸診溫熱且有痛感。最可能的診斷是？",12,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-maternal-pediatric-010","有關第二產程的產痛來源，下列何者錯誤？",10,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-014","胎兒以面產式，胎頭完全仰伸進入骨盆時，呈現的徑線為下列何者？",14,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-maternal-pediatric-048","有關早產兒的臨床表徵，下列何者正確？",107,"2026-09-04",1788510742679]