[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-064":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-064","nurse-108-2-maternal-pediatric-064",108,2,64,"凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",{"A":14,"B":15,"C":16,"D":17},"採用之血液，最好為新鮮血液，或不超過 72 小時之血庫血袋，以防止血袋中鉀離子過高","為預防血袋內抗凝血劑所含之檸檬酸，與嬰兒血中鈣結合引起高血鈣，需注射抑鈣激素（calcitonin）","備血之血量為嬰兒全身血量的 3 倍，約 800mL 為原則","如因 Rh 血型不合而發生溶血者，應備 O 型且 Rh 血型為陽性","A",null,[],"本題考點為新生兒高膽紅素血症換血治療（exchange transfusion）的血品選擇與原則。依血庫學，庫存血隨時間紅血球溶解使鉀離子上升，故換血應用新鮮血或不超過 72 小時之血袋以防高血鉀，A 正確。B 錯：抗凝劑檸檬酸會與嬰兒血中鈣結合造成「低血鈣」而非高血鈣，且應補鈣而非注射抑鈣激素。C 錯：備血量約為嬰兒全身血量 2 倍（約 450～500mL），非 3 倍 800mL。D 錯：Rh 血型不合溶血時應備 O 型且 Rh「陰性」血，以免再被抗體攻擊，故正解為 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？",6,1783840759944]