[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-112-2-產兒科護理學-002","nurse-112-2-maternal-pediatric-002",112,2,"丁女士 30 歲，G 1 P 0 ，懷孕 20 週，至門診產檢。懷孕前身體質量指數（BMI）為 20，懷孕後體重增加 3 公斤，宮底高肚臍上一橫指，詢問「肚子會不會太小？」護理師最合適的回答為何？",{"A":13,"B":14,"C":15,"D":16},"目前體重增加太少，所以肚子比較小，可以每天再增加 1 份 300 卡的點心","目前體重增加太多，肚子不會太小，需要減少一天熱量，有效控制體重","目前體重增加和肚子大小符合懷孕週數，繼續維持就可以","目前肚子大小符合週數，但體重增加太少，可以每天再增加 1 份 300 卡的點心","C",null,[],"本題考點在孕期體重增加與宮底高度的正常評估。依產科評估標準，孕前 BMI 20 屬正常範圍，懷孕 20 週體重增加約 3 公斤在合理範圍內;且懷孕約 20 週時宮底高度應到達肚臍附近，本例「肚臍上一橫指」與週數相符,故最合適的回答是 C(體重增加和肚子大小符合週數，繼續維持)。A 說體重增加太少須加點心,但 3 公斤在 20 週屬正常,判斷錯誤。B 說體重增加太多需減熱量,亦與正常增重不符。D 判斷肚子符合週數卻說體重太少須加熱量,前後矛盾且不符正常增重。故 C 最適當。","孕期增重建議依孕前 BMI 分級:BMI 正常(18.5–24.9)者建議增重 11.5–16 公斤,第一孕期約增 1–2 公斤、第二三孕期每週約增 0.4–0.5 公斤。宮底高度的粗估對照:12 週到恥骨聯合上、20 週到肚臍、36 週近劍突,20 週後公分數約等於週數(±2)。本例各項皆落在正常區間,故衛教方向是「維持現狀、定期追蹤」而非增減熱量。記憶「20 週宮底到肚臍」。可連結子宮底高度測量法與胎兒生長評估複習。",[23,26,28,30,32],{"term":24,"count":25},"孕期增重建議",1,{"term":27,"count":25},"孕前 BMI 正常",{"term":29,"count":25},"宮底高度 20 週到肚臍",{"term":31,"count":25},"正常增重評估",{"term":33,"count":25},"產前衛教",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-003","趙女士至門診確認懷孕 8 週，有孕吐現象，詢問有關孕期熱量攝取，下列何者為最適當的回答？",3,{"webId":40,"stem":41,"number":42,"year":9,"session":38},"nurse-112-3-maternal-pediatric-019","下列何種免疫球蛋白胎兒無法自行合成，需於出生後從母乳中獲得？",19,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-013","有關產後情緒低落（postpartum blues）的定義及敘述，下列何者正確？",13,113,{"webId":49,"stem":50,"number":51,"year":52,"session":38},"nurse-114-3-maternal-pediatric-011","有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",11,114,{"webId":54,"stem":55,"number":56,"year":57,"session":25},"nurse-106-1-maternal-pediatric-065","霏霏，2 個月，罹患心房中膈缺損（ Atrial Septal Defect; ASD ），下列護理指導何者不恰當？",65,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-maternal-pediatric-019","當待產婦使用 PGE 2 陰道栓劑後，護理師需要監測下列何種變化？",107,"2026-09-04",1788510747998]