[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-029":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-108-2-產兒科護理學-029","nurse-108-2-maternal-pediatric-029",108,2,29,"有關 HELLP syndrome 的症狀與致病機轉之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"為妊娠子癇症，易在懷孕 20 週以前出現，主要症狀是因血小板增加與溶血所引發","指溶血、肝功能指數上升、血小板下降的症候群","是妊娠出血性疾病的一種，包含血液動力失衡、低紅血球症與胎盤功能下降","致病機轉通常與孕婦對胎兒的 ABO 血型不合有關代號：4106 頁次：8－4","B",null,[],"本題考點是 HELLP 症候群的定義與機轉。依其名稱縮寫，HELLP 指溶血（Hemolysis）、肝酵素上升（Elevated Liver enzymes）、血小板低下（Low Platelets）三大特徵的症候群，屬子癲前症／子癇症的嚴重變異，故選 B。A 錯在多在懷孕 20 週『以後』發生，且機轉是血小板『下降』與溶血、而非血小板增加。C 錯在把 HELLP 描述為妊娠出血性疾病並列「低紅血球症、胎盤功能下降」的籠統說法，未抓住溶血、肝酵素升高、血小板低下的核心三要件。D 錯在 HELLP 與母胎 ABO 血型不合無關，ABO 不合造成的是新生兒溶血病。",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？",6,1783840759676]