[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-111-2-產兒科護理學-031","nurse-111-2-maternal-pediatric-031",111,2,31,"有關妊娠合併糖尿病孕婦預後及其相關檢測的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"產後血糖值檢測仍超過標準值者，未來一定會罹患第一型糖尿病","具第二型糖尿病的危險因子，下胎懷孕即在第一次產檢就須進行篩檢","產後血糖值檢測正常者，在產後 6～12 週就不需再做糖尿病篩檢","妊娠期糖尿病與卵巢分泌雌性素有關，與下一胎再度罹患糖尿病的關聯性高","B",null,[],"本題考點在妊娠糖尿病（GDM）的預後與後續篩檢原則。有第二型糖尿病危險因子的孕婦，下一胎懷孕時應在「第一次產檢」即提早進行血糖篩檢，而非等到24～28週，故選B正確。考點在於高危因子者須提早於初次產檢篩檢。選項A「產後血糖仍超標者未來一定罹患第一型糖尿病」錯誤，GDM後續多進展為第二型而非第一型，且非「一定」；選項C「產後血糖正常者6～12週就不需再做篩檢」錯誤，GDM婦女即使產後正常，仍應於產後6～12週複檢並終身定期追蹤血糖，因日後罹患第二型風險顯著升高；選項D稱GDM與卵巢分泌雌性素有關，實際上GDM主因是胎盤分泌的抗胰島素荷爾蒙造成胰島素阻抗，機轉描述錯誤。三個錯項在糖尿病型別、追蹤必要性與致病機轉上皆有誤。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840793315]