[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-046":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-107-2-產兒科護理學-046","nurse-107-2-maternal-pediatric-046",107,2,46,"鐮狀細胞貧血（sickle cell anemia）病童不會出現下列何項臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"顱骨變大、顴骨隆起","末端肢體腫脹與疼痛","視網膜病變以致失明","肝、脾腫大","A",null,[],"本題考點在鐮狀細胞貧血(sickle cell anemia)與海洋性貧血臨床表徵的鑑別。顱骨變大、顴骨隆起(頭顱增厚、面容改變)是慢性溶血致骨髓大量代償增生的表現,典型見於重型海洋性貧血,並非鐮狀細胞貧血的特徵,故 A 為不會出現者。B 正確,鐮狀紅血球阻塞末梢微血管造成手足腫脹疼痛(手足症候群);C 正確,反覆血管阻塞可致視網膜病變甚至失明;D 正確,溶血與脾臟捕捉鐮狀細胞造成肝脾腫大。故不會出現者為 A。",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？",6,1783840751960]