[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-112-2-產兒科護理學-003","nurse-112-2-maternal-pediatric-003",112,2,3,"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？",{"A":14,"B":15,"C":16,"D":17},"孕期熱量需求和體重增加是平均分配於三個孕期","第一孕期常有孕吐，體重增加是三個孕期中最少","第二孕期熱量主要提供胎兒的生長","第三孕期熱量主要提供胎盤的生長","B",null,[],"本題考點在三個孕期的熱量需求與體重增加分布。依孕期營養生理，第一孕期胎兒尚小、母體額外熱量需求最低，加上常見孕吐影響進食，故此期體重增加是三個孕期中最少,選 B。A 說熱量與體重增加平均分配於三孕期,錯誤;實際是前少後多、隨胎兒快速生長遞增。C 說第二孕期熱量主要供胎兒生長,不夠精確;第二孕期熱量較多用於母體組織(子宮、乳房、血容量)擴充與能量儲備。D 說第三孕期熱量主要供胎盤生長,錯誤;第三孕期以胎兒快速增重為主。故 B 最適當。","孕期額外熱量需求呈遞增:第一孕期幾乎不需額外增加,第二孕期約 +300 大卡\u002F日,第三孕期約 +300 至更多。第一孕期重點是細胞分化與器官形成(葉酸關鍵)而非增量,加上孕吐,體重增加最少(約 1–2 公斤)。第二孕期母體開始儲備、組織擴張;第三孕期胎兒體重快速累積(佔出生體重大部分)。記憶「前期打地基(質)、後期長體重(量)」。可連結孕吐(morning sickness)護理與各孕期營養素重點複習。",[24,27,29,31,33],{"term":25,"count":26},"孕期熱量需求遞增",1,{"term":28,"count":26},"第一孕期增重最少",{"term":30,"count":26},"孕吐影響進食",{"term":32,"count":26},"母體組織儲備",{"term":34,"count":26},"第三孕期胎兒增重",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-004","有關懷孕期的營養指導，下列何者最適當？",4,{"webId":41,"stem":42,"number":43,"year":9,"session":11},"nurse-112-3-maternal-pediatric-020","陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",20,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-maternal-pediatric-014","有關乳腺炎（mastitis）的敘述，下列何者錯誤？",14,113,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-114-3-maternal-pediatric-012","陳女士，待產 3 小時，於陰道內診發現其胎兒先露部位到達坐骨棘連線上 1 公分。下列紀錄何者正確？",12,114,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-106-1-maternal-pediatric-066","有關血友病病童的運動建議，下列敘述何者正確？",66,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-2-maternal-pediatric-020","張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",107,"2026-09-04",1788510748001]