[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-022":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-112-3-產兒科護理學-022","nurse-112-3-maternal-pediatric-022",112,3,22,"丁女士，妊娠 12 週，接受第二次產前檢查，發現其紅血球平均容積（MCV）為 60 fl。針對丁女士的狀況，下列何者為最優先處置？",{"A":14,"B":15,"C":16,"D":17},"安排丁女士接受基因檢查，以確認其是否為海洋性貧血症","安排配偶接受基因檢查，以確認其是否為海洋性貧血帶因者","安排配偶接受紅血球平均容積（MCV）之血液篩檢","安排丁女士接受絨毛膜取樣，以確認胎兒的基因型式","C",null,[],"本題考點在於孕婦紅血球平均容積（MCV）偏低時海洋性貧血篩檢的優先流程。個案 MCV 60 fl 為明顯小球性貧血，可能為海洋性貧血帶因，此時最優先且成本效益最高的步驟是先安排「配偶接受 MCV 血液篩檢」，以評估雙方是否同為帶因、判斷胎兒罹患重症的風險，故選 C。A、D 對孕婦本人先做基因檢查或絨毛膜取樣屬跳階、過度侵入；B 直接安排配偶基因檢查在配偶 MCV 未篩前亦嫌躁進，應先以 MCV 初篩再決定是否進一步基因確診。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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？",6,1783840795193]