[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-019","nurse-115-2-maternal-pediatric-019",115,2,19,"有關心臟病婦女妊娠期生活與飲食之注意事項，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"增加產前運動頻率以提高體能","須攝取低蛋白及適量鈉的飲食","體重增加至少 16 公斤以維持體力","妊娠 20～24 週安排進行高層次胎兒心臟超音波檢查","D",null,[],"本題考點是心臟病孕婦的活動、飲食與產前檢查安排原則。依母體先天性心臟病者其子代先天性心臟病風險升高的流行病學資料，胎兒心臟結構在妊娠中期已可清楚顯影，因此高層次超音波與胎兒心臟超音波安排在妊娠 20～24 週最能兼顧影像品質與後續處置時間，故 D 正確。A 錯：心臟病孕婦以限制活動、增加休息、減少心輸出負荷為原則，增加運動頻率會加重心臟負擔。B 錯：飲食原則是足量而非低量蛋白質以維持組織修復與預防貧血，同時限制鈉以減少水鈉滯留。C 錯：體重過度增加會提高血液容積與心臟負荷，不以增加 16 公斤為目標。","生理背景在於孕期血液容積約增加百分之四十至五十、心輸出量上升，高峰約在妊娠 28～32 週，另兩個危險時點是分娩用力期與產後最初 24 至 48 小時（子宮血液回流造成回心血量驟增）。心臟功能分級（NYHA I 至 IV）是決定活動與生產方式的主要依據，級數愈高愈需嚴格限制活動。護理監測重點放在心衰竭早期線索：夜間咳嗽、活動後呼吸急促加劇、心搏過速與肺部濕囉音。延伸可連結貧血對心臟負荷的疊加效應。",[24,27,29,31],{"term":25,"count":26},"妊娠期心血管生理變化",1,{"term":28,"count":26},"NYHA 心臟功能分級",{"term":30,"count":26},"高層次胎兒超音波時機",{"term":32,"count":26},"心臟病孕婦飲食原則",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-020","有關胎盤早期剝離的敘述，下列何者正確？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-066","有關血友病病童的運動建議，下列敘述何者正確？",66,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-080","雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",80,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-038","最常導致愛滋病患神經系統感染的病原體為何？",38,108,{"webId":53,"stem":54,"number":10,"year":55,"session":10},"nurse-109-2-maternal-pediatric-002","有關以家庭為中心的產科照護，下列何者錯誤？",109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-maternal-pediatric-036","有關更年期婦女使用荷爾蒙補充療法的禁忌，下列何者錯誤？",36,110,"2026-08-06",1787299007071]