[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-2-產兒科護理學-004","nurse-115-2-maternal-pediatric-004",115,2,4,"趙女士，29 歲，曾流產一次，有一個 4 歲大的兒子（懷孕 40 週出生），一個剛滿 1 歲的女兒（懷孕 36 週出生），現因再次懷孕而到產科門診檢查，病歷記錄趙女士的孕產史為：",{"A":14,"B":15,"C":16,"D":17},"G 3 P 2 A 1","G 3 P 1 A 1","G 4 P 3 A 0","G 4 P 2 A 1","D",null,[],"本題考點是孕產史 GPA 記錄法的計算規則。依定義，G（gravida）計算包含本次在內的所有懷孕次數，P（para）計算妊娠達 20 週以後分娩的次數（不論死活、不以胎兒數計），A（abortion）計算未滿 20 週結束的妊娠。個案曾流產 1 次、40 週分娩 1 次、36 週分娩 1 次，再加上目前這次懷孕，共 4 次妊娠，故 G4；兩次分娩皆滿 20 週，故 P2；流產 1 次為 A1，答案為 D。A、B 錯在漏算本次懷孕，G 應為 4。C 錯在把流產也算成生產（P3）且 A 記為 0，違反 20 週分界原則。","口訣是「G 含現在、P 看 20 週、A 只算 20 週前」。更完整的 GTPAL 五碼法可再拆分：T（term，滿 37 週）、P（preterm，20～37 週）、A、L（living children）。本例以 GTPAL 表示為 G4 T1 P1 A1 L2——40 週者為足月、36 週者為早產，現有 2 名存活子女。臨床設計此考點是因為孕產史直接影響風險分級（如多次流產須評估習慣性流產、早產史提高再次早產風險）。注意雙胞胎生產仍只算 1 次 para，但 L 記為 2。",[24,27,29,31],{"term":25,"count":26},"GPA 孕產史記錄法",1,{"term":28,"count":26},"GTPAL 五碼法",{"term":30,"count":26},"流產與生產的 20 週分界",{"term":32,"count":26},"para 的計算原則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-005","下列何者為懷孕的確實徵象？",5,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-051","小維，足月兒，體重 2,800 公克。出生後的第 3 天，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 16 mg\u002FdL，醫囑照光治療，下列何者是最重要的護理目標？",51,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-065","小華，5 歲，罹患大血管轉位（transposition of the great arteries;TGA），此次入院準備接受完全矯正手術。基於小華在心臟方面的認知，護理師應採取以下何種解釋方式較為適當？",65,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-023","有關產後正常紅惡露（lochia rubra）的護理指導，下列何者正確？",23,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-maternal-pediatric-067","有關兒童疼痛之敘述，下列何者錯誤？",67,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-021","蔡女士 18 歲，表示：「我都用保險套避孕，前幾天跟我男友發生關係，忘記要用套子，可是我們不想懷孕。」，下列敘述何者最適當？",21,110,"2026-08-06",1787299006890]