[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-022":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-113-1-產兒科護理學-022","nurse-113-1-maternal-pediatric-022",113,1,22,"有關妊娠糖尿病之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"妊娠初期胎盤分泌人類胎盤泌乳激素（hPL）增加，產生胰島素拮抗","容易導致流產及羊水過多","與糖尿病遺傳史無關","口服降血糖藥為主要治療方式","B",null,[],"本題考點在於妊娠糖尿病（GDM）的病生理與臨床特性。依產科學，妊娠糖尿病使母體血糖偏高、胎兒長期處於高血糖與高胰島素環境，易造成巨嬰、多尿而導致羊水過多，也增加流產與胎兒異常風險，故 B「容易導致流產及羊水過多」正確。A 敘述時機錯誤，胎盤泌乳素（hPL）等抗胰島素荷爾蒙是在妊娠中後期（第二、三孕期）大量增加而產生胰島素阻抗，並非妊娠初期，故 A 錯。C「與糖尿病遺傳史無關」錯誤，家族糖尿病史是妊娠糖尿病的重要危險因子。D「口服降血糖藥為主要治療」錯誤，妊娠糖尿病首選飲食控制與運動，血糖仍無法達標時以胰島素注射為主要藥物治療。故正解為 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？",6,1783840795680]