[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-產兒科護理學-021","nurse-114-3-maternal-pediatric-021",114,3,21,"楊女士，28 歲，G 1 P 0 ，孕前 BMI 正常，本次懷孕為同卵雙胞胎，胎位皆為頭位，下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"容易出現貧血，需攝取 30 mg\u002Fday 鐵質","妊娠體重需要增加 20～22 公斤，以提供足夠營養","容易罹患妊娠高血壓，需要監測血壓狀況","於妊娠 20 週常規施打類固醇以預防早產","C",null,[],"本題考點在於多胞胎妊娠的護理指導重點。正解 C：雙胞胎因子宮過度膨脹、胎盤面積大，妊娠高血壓與子癇前症風險明顯增加，須加強血壓監測。A 錯，雙胞胎鐵質需求更高，一般建議約 60～100 mg\u002Fday，30 mg\u002Fday 不足；B 錯，正常 BMI 的雙胞胎孕婦建議增重約 16.8～24.5 公斤，20～22 公斤僅為概略且非首要指導；D 錯，產前類固醇是在有早產風險徵兆時（約 24～34 週）使用以促進胎肺成熟，並非在 20 週常規施打。故選 C。","多胞胎屬高危險妊娠，併發症風險上升：妊娠高血壓／子癇前症、貧血、早產、妊娠糖尿病、產後出血、雙胎輸血症候群（單絨毛膜）。同卵（單卵）雙胞胎共用胎盤時風險更高。護理重點在血壓與尿蛋白監測、營養（鐵、葉酸、熱量）補充、早產徵象衛教，並依產科評估安排生產計畫。",[24,27,30,32],{"term":25,"count":26},"鐵質需求",2,{"term":28,"count":29},"多胞胎妊娠",1,{"term":31,"count":29},"妊娠高血壓與子癇前症",{"term":33,"count":29},"產前類固醇使用時機",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-maternal-pediatric-018","握住新生兒的大腿並輕輕往下施壓，做內收（adduction）動作，檢查股骨頭在關節內是否有滑脫現象，此為新生兒先天性髖關節脫臼的何種徵象測試？",18,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"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":50,"stem":51,"number":52,"year":53,"session":26},"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？",20,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-maternal-pediatric-064","凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",64,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-maternal-pediatric-018","待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",110,"2026-09-04",1788510762441]