[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-044":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-044","nurse-114-3-maternal-pediatric-044",114,3,44,"林小妹，國小 5 年級，罹患第 1 型糖尿病（type 1 diabetes mellitus），有關糖尿病居家護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"注射胰島素後，按摩注射部位，增強胰島素作用","注射胰島素後 60～90 分鐘再運動，運動前補充點心","避免血糖大幅波動，不宜進行游泳、慢跑等有氧運動","出現皮膚乾燥、腹痛、呼吸快且深，儘速進食甜食","B",null,[],"本題考點在於第 1 型糖尿病學童的居家自我照護。依運動與胰島素作用時序,注射胰島素後約 60～90 分鐘為藥效高峰,此時運動並於運動前補充點心,可避免加乘降糖而低血糖,故 B 正確。A 錯,注射後按摩會加速且不穩定吸收,易致低血糖;C 錯,游泳、慢跑等有氧運動有助血糖控制,應鼓勵而非避免;D 錯,皮膚乾燥、腹痛、呼吸快而深屬糖尿病酮酸中毒(高血糖)徵象,須就醫評估而非進食甜食。","『呼吸快且深』即 Kussmaul 呼吸,是酮酸中毒(DKA)代償代謝性酸中毒的表現,與低血糖(冒冷汗、發抖、心悸、飢餓)剛好相反,兩者處置南轅北轍是常考陷阱。運動可增加胰島素敏感度,但須防運動後遲發性低血糖,故補充點心與監測血糖是重點。",[24,27,29,32],{"term":25,"count":26},"第 1 型糖尿病",2,{"term":28,"count":26},"胰島素作用高峰",{"term":30,"count":31},"運動前補充點心",1,{"term":33,"count":31},"酮酸中毒 Kussmaul 呼吸",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-045","當 3 歲的腦瘤女童出現下列何種徵象時，護理師應進一步評估是否為顱內壓上升？",45,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-maternal-pediatric-041","12 歲病童，診斷為風濕性心臟病（rheumatic heart disease），下列症狀何者較不會出現？",41,115,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-2-maternal-pediatric-005","孕期婦女需增加碘的攝取，主要促進胎兒何部分的發育？",5,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-043","張太太懷孕 30 週，因早期破水產下重 2,400 公克女嬰，其體重與妊娠週數的關係屬於：",43,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-maternal-pediatric-007","懷孕 35 週婦女，走路時感到鼠蹊部痛，主要是那一條子宮韌帶受影響？",7,109,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-maternal-pediatric-041","依據「兒童及少年福利與權益保障法」第 53 條，當護理師知悉兒童非法施用毒品或管制藥品、遭受虐待或其他傷害，至遲不得超過幾小時，應立即向主管機關通報？",110,"2026-09-04",1788510762626]