[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-031":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-112-1-產兒科護理學-031","nurse-112-1-maternal-pediatric-031",112,1,31,"一位懷孕 28 週妊娠糖尿病孕婦接受胰島素治療，其施打的胰島素劑量隨著妊娠週數的增加也逐漸增加。胰島素的需求量與下列何項荷爾蒙的分泌增加有關？",{"A":14,"B":15,"C":16,"D":17},"泌乳激素（Prolactin）","人類胎盤泌乳激素（human Placental Lactogen, hPL）","人類絨毛膜促性腺激素（human Chorionic Gonadotropin, hCG）","促腎上腺皮質素（Andrenocorticotropic hormone, ACTH）","B",null,[],"本題考點為妊娠期胰島素需求增加的荷爾蒙機轉。依據人類胎盤泌乳激素(hPL)具有抗胰島素(拮抗)作用的藥理特性,其分泌量隨胎盤成長與妊娠週數增加而上升,使母體胰島素阻抗漸增,故胰島素需求量隨週數增加,選 B。A 泌乳激素主司產後泌乳,非孕期血糖阻抗主因;C hCG 於孕早期高峰後下降,主要維持黃體,與後期胰島素需求遞增不符;D ACTH 刺激腎上腺皮質分泌皮質醇,雖皮質醇亦有升糖作用,但孕期胰島素阻抗遞增最直接相關者為 hPL。故選 B。",[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？",6,1783840793945]