[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-109-1-產兒科護理學-027","nurse-109-1-maternal-pediatric-027",109,1,27,"糖尿病孕婦所產下體重過重的嬰兒（出生體重在 4,000 公克以上）容易在出生後發生低血糖的狀況，主要原因可能是：",{"A":14,"B":15,"C":16,"D":17},"新生兒出生後無法釋放足夠的胰島素，葡萄糖調節失控所致","新生兒出生後仍保留從母親獲得的大量葡萄糖，胰島素迅速分泌增加所致","母親供應的葡萄糖出生後中斷，新生兒體內存在過多的胰島素快速消耗葡萄糖所致","新生兒剛出生，還沒有開始進食大量奶水，體內葡萄糖容量不足所致","C",null,[],"本題考點在於糖尿病母親嬰兒(IDM)出生後低血糖的病生理機轉。依胎兒代謝生理,母親高血糖使葡萄糖經胎盤大量傳送給胎兒,刺激胎兒胰臟長期分泌過多胰島素形成高胰島素血症;出生後臍帶剪斷、母體葡萄糖供應驟然中斷,而新生兒體內仍殘留過量胰島素快速消耗血糖,遂發生低血糖,故選C。A方向相反,IDM並非胰島素釋放不足,而是過多。B錯在把重點放在「殘留葡萄糖」,實際葡萄糖來源已中斷,問題出在胰島素過量。D以進食不足解釋,並非巨嬰低血糖的主因。因此正確機轉為C。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840748111]