[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-023":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-023","nurse-113-2-maternal-pediatric-023",113,2,23,"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",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","D",null,[],"本題考點在於妊娠糖尿病兩階段篩檢法的第一階段（50 gm 葡萄糖負荷試驗）操作細節，須逐項判讀。②建議於懷孕 24–28 週篩檢正確，此為妊娠糖尿病常規篩檢週數，因胎盤荷爾蒙的抗胰島素作用此時明顯。④第一階段 50 gm GCT 於服糖後 1 小時抽血，血糖＞140 mg\u002FdL 為篩檢陽性，需進一步做 100 gm 三小時耐糖試驗確診，正確。故②④正解為 D。①錯，篩檢週數應為 24–28 週而非 20–22 週。③錯，第一階段 50 gm 篩檢「不需空腹」，可於任何時間口服 50 gm 葡萄糖後 1 小時抽血，這正是它與第二階段 100 gm 確診試驗（需空腹）的最大差異。本題須清楚區分兩階段法的週數、是否禁食與判讀閾值。","兩階段法（Carpenter-Coustan）流程：第一階段 24–28 週，隨機口服 50 gm 葡萄糖，1 小時後血糖 ≥140 mg\u002FdL 為陽性（部分採 130 或 135）；陽性者進第二階段 100 gm OGTT，需空腹，測空腹、1、2、3 小時共四點，兩點以上超標即確診 GDM。關鍵鑑別：50 gm 篩檢「不禁食」，100 gm 確診「需禁食」。另有一階段法直接 75 gm OGTT。本題設計的陷阱在③把確診試驗的「空腹」誤植到篩檢試驗。記憶法：50 gm 是「隨手篩」（不禁食），100 gm 是「認真驗」（要空腹）。",[24,27,29,31],{"term":25,"count":26},"妊娠糖尿病兩階段篩檢",1,{"term":28,"count":26},"50gm葡萄糖負荷試驗",{"term":30,"count":26},"24-28週篩檢",{"term":32,"count":26},"篩檢陽性閾值140mg\u002FdL",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-024","有關人類乳突病毒（human papillomavirus, HPV）之敘述，下列何者錯誤？",24,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-020","王女士使用催產素引產，胎兒監測器呈現宮縮頻率及持續時間為 60\" \u002F1'30\" -2'，宮縮時壓力100 mmHg，子宮頸口一直停留在4公分，胎心音為135～150 bpm，下列何者為最優先處置？",20,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-014","有關母乳哺育，下列敘述何者不適當？",14,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-062","吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",62,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-026","下列何者為產後霍曼氏徵象（Homan’s sign）的評估方式？",26,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-060","有關新生兒各系統生理特徵與調節，下列何者正確？",60,108,"2026-09-04",1788510755510]