[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-3-產兒科護理學-003","nurse-114-3-maternal-pediatric-003",114,3,"李女士，懷孕 28 週，主訴有腿部抽筋和背痛的症狀，護理師評估後，發現她僅攝取少量的乳製品，且很少吃綠葉蔬菜。根據她的情況，鈣質攝取不足最可能導致下列那一種健康問題？",{"A":13,"B":14,"C":15,"D":16},"增加孕婦骨質疏鬆的風險，影響胎兒骨骼發育","可能影響胎兒腦部神經發育，易罹患呆小症","可能引發孕婦貧血，影響胎兒紅血球生成","可能出現孕期便秘和食慾不振，影響排便","A",null,[],"本題考點在於孕期鈣質的生理功能與缺乏後果。正解A:鈣是骨骼與牙齒形成的主要礦物質,孕期胎兒骨骼發育需求增加,若母體攝取不足,胎兒會優先動用母體骨鈣,導致孕婦骨質流失、增加骨質疏鬆風險,並影響胎兒骨骼發育;個案的腿部抽筋也與血鈣不足使神經肌肉興奮性增加有關,故最符合。B錯誤,呆小症(克汀症)源於「碘」缺乏影響甲狀腺與腦部發育,非鈣;C錯誤,孕婦貧血與影響紅血球生成主要與「鐵」(及葉酸、B12)缺乏有關;D錯誤,孕期便秘主要與黃體素使腸蠕動減慢、鐵劑等因素有關,非缺鈣所致。故選A。","孕期鈣建議攝取約每日1000 mg,來源有乳製品、豆製品、深綠色蔬菜、小魚乾,並需維生素D促進吸收。缺鈣典型症狀為腿部抽筋(尤其夜間)、感覺異常。對比營養素缺乏後果:鐵→缺鐵性貧血;碘→胎兒呆小症與神經發育遲緩;葉酸→神經管缺陷。記憶:「鈣顧骨、鐵顧血、碘顧腦、葉酸顧神經管」。",[23,26,28,30],{"term":24,"count":25},"孕期鈣質需求",1,{"term":27,"count":25},"骨骼發育與骨質疏鬆",{"term":29,"count":25},"低血鈣神經肌肉興奮",{"term":31,"count":25},"碘缺乏與呆小症",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-maternal-pediatric-004","王女士，懷孕 36 週，第一胎，擔心不知何種情況要前往醫院待產，住家離醫院約 20 分鐘車程，下列指導何者最適當？",4,{"webId":38,"stem":39,"number":40,"year":41,"session":25},"nurse-115-1-maternal-pediatric-050","有關腦性麻痺兒童之敘述，下列何者錯誤？",50,115,{"webId":43,"stem":44,"number":45,"year":46,"session":25},"nurse-106-1-maternal-pediatric-044","小亮，8 歲，於野外露營時被雨傘節咬傷左小腿，下列何項處置最為適宜？",44,106,{"webId":48,"stem":49,"number":50,"year":51,"session":50},"nurse-107-2-maternal-pediatric-002","有關臺灣家庭結構改變的敘述，下列何者錯誤？",2,107,{"webId":53,"stem":54,"number":55,"year":56,"session":50},"nurse-108-2-maternal-pediatric-046","雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",46,108,{"webId":58,"stem":59,"number":60,"year":61,"session":50},"nurse-109-2-maternal-pediatric-080","小英 6 歲，因扁平足（flat foot）就診，有關護理指導之敘述，下列何者正確？",80,109,"2026-09-04",1788510762302]