[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-產兒科護理學-022","nurse-113-2-maternal-pediatric-022",113,2,22,"下列那些為重度子癇前症的危險徵候和症狀？①嚴重頭痛 ②視力模糊 ③4 小時尿量為 400 mL ④血清肌酐酸持續下降",{"A":14,"B":15,"C":16,"D":17},"①②","②③","③④","①④","A",null,[],"本題考點在於重度子癇前症的危險徵候辨識，須逐一判讀四個描述。①嚴重頭痛與②視力模糊皆為重度子癇前症的中樞神經與視覺受侵犯表現，反映腦水腫與血管痙攣，是即將抽搐（子癇症）的警訊，均正確，故選 A（①②）。③「4 小時尿量 400 mL」換算每小時 100 mL，屬正常甚至偏多，重度子癇前症的腎損傷表現應是少尿（如＜500 mL\u002F24 小時或＜每小時 30 mL），故③不符危險徵候。④「血清肌酐酸持續下降」方向錯誤，腎功能受損時肌酐酸應是「上升」而非下降，故④亦不符。本題須掌握重度子癇前症的多器官受損指標：中樞症狀、視覺障礙、少尿、肌酐酸上升、肝酵素升高、血小板下降。","重度子癇前症診斷依據任一嚴重特徵：收縮壓≥160 或舒張壓≥110 mmHg、血小板＜10 萬、肝酵素升高併右上腹痛、肌酐酸＞1.1 mg\u002FdL 或倍增、肺水腫、新發生的中樞或視覺症狀（頭痛、視力模糊、暗點）。這些反映全身血管內皮受損與器官灌流下降。本題以「數值方向」設陷阱：尿量要看是否少尿、肌酐酸要看是否上升，兩者方向一反即排除。記憶法：重度子癇前症「腦（頭痛視力）、腎（少尿、Cr升）、肝（酵素升、RUQ痛）、血（血小板降）」四系統警訊；HELLP 症候群是其嚴重變異。",[24,27,29,31],{"term":25,"count":26},"重度子癇前症診斷準則",1,{"term":28,"count":26},"中樞神經與視覺症狀",{"term":30,"count":26},"少尿",{"term":32,"count":26},"血清肌酐酸上升",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-023","林女士，若進行第一階段 50 gm 葡萄糖耐性試驗篩檢妊娠糖尿病，下列那些敘述正確？①建議於懷孕 20～22 週篩檢 ②建議於懷孕 24～28 週篩檢 ③篩檢前需禁食，空腹抽血 ④1 小時後的血糖值大於 140 mg\u002FdL，則需進一步檢查",23,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-019","採純母乳哺餵之健康新生兒出生體重為3,900公克，出生第三天體重降為3,700公克，父母非常擔憂該新生兒體重降低的狀況，此時最適合的護理指導為何？",19,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-013","有關產後泌尿系統評估，下列敘述何者正確？",13,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-061","小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",61,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-025","有關 REEDA 評估會陰切開傷口的內容，下列何者正確？",25,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-059","有關早產兒視網膜病變，下列敘述何者正確？",59,108,"2026-09-04",1788510755506]