[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-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-114-1-產兒科護理學-023","nurse-114-1-maternal-pediatric-023",114,1,23,"王女士，30歲，G 1P 1，有妊娠期糖尿病，有關產後的避孕護理指導，下列何者較為合適？",{"A":14,"B":15,"C":16,"D":17},"子宮內避孕器","口服避孕藥","輸卵管結紮","保險套","D",null,[],"本題考點在於妊娠糖尿病婦女產後避孕方式的選擇考量。依避孕方法對代謝的影響，含雌激素的口服避孕藥可能影響糖脂代謝與增加血栓風險，較不理想；本例首次生產、未來可能仍有生育計畫，故不宜輸卵管結紮（永久性）。相較之下，保險套無荷爾蒙、不影響血糖代謝且可逆，最為合適，選 D。A 子宮內避孕器雖可行但常為多產或已完成生育者選項，非最無代謝顧慮者；B 口服避孕藥有代謝與血栓顧慮；C 輸卵管結紮為永久絕育，對 G1P1 者不適合。故選 D。","為代謝疾病或血栓高風險婦女選避孕法，優先非荷爾蒙、可逆的屏障法（保險套）。含雌激素製劑影響血糖、血脂與凝血；永久性絕育須確認已無生育需求。妊娠糖尿病婦女產後仍應追蹤血糖（部分進展為第二型糖尿病），避孕選擇兼顧代謝安全與可逆性。",[24,27,29,31],{"term":25,"count":26},"妊娠糖尿病",7,{"term":28,"count":10},"避孕方法選擇",{"term":30,"count":10},"屏障避孕法",{"term":32,"count":10},"荷爾蒙避孕代謝影響",[34,38,43,49,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-024","在已開發國家中會以那些措施預防愛滋病的母子垂直感染？①妊娠期接受完整的抗愛滋病毒藥物治療    ②採剖腹生產   ③新生兒給與預防性口服抗愛滋病毒藥物     ④分娩前母親血中病毒量＜400 copies\u002FmL者方可哺餵母乳",24,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-020","有關心臟病孕婦之生產及產後護理措施，下列敘述何者正確？",20,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-maternal-pediatric-014","有關生理性脹奶（fullness）的照護，下列敘述何者最不適當？",14,115,2,{"webId":50,"stem":51,"number":48,"year":52,"session":10},"nurse-107-1-maternal-pediatric-002","有關臺灣產科護理現況之敘述，下列何者正確？",107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-046","兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",46,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-maternal-pediatric-080","有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",80,109,"2026-09-04",1788510757830]