[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"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-115-1-產兒科護理學-002","nurse-115-1-maternal-pediatric-002",115,1,2,"有關妊娠期間孕婦血液組成的變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"循環血容量及胎兒需求增加，使血漿蛋白增加","為避免孕婦血液鬱積，凝血因子Ⅶ、Ⅷ、Ⅸ、Ⅹ會減少","循環血容量增加，使血比容增加","懷孕期間因雌性素增加，使白血球會增加","D",null,[],"本題考點是妊娠期血液組成的生理性變化方向。依妊娠生理,雌性素上升會提高骨髓造血活性,白血球由非孕期約 5,000\u002Fmm³ 上升至約 5,000–12,000\u002Fmm³,產程中可更高,故 D 正確。A 錯在方向相反:血漿容積大量增加造成血液稀釋,白蛋白與總血漿蛋白濃度是下降而非增加,這也是孕期膠體滲透壓下降、易生理性水腫的原因。B 錯在孕期屬高凝狀態,凝血因子Ⅶ、Ⅷ、Ⅸ、Ⅹ與纖維蛋白原均增加,以備分娩時止血,而非減少。C 錯在血漿容積增幅(約 40–50%)大於紅血球量增幅(約 20–30%),血比容因而下降,即所謂生理性貧血。","把孕期血液變化整理成「三升一降」最好記:血漿量升、凝血因子升、白血球升,血比容(與血漿蛋白濃度)降。臨床設計此考點的用意有二:其一,生理性貧血屬稀釋現象,故孕婦貧血判讀門檻與非孕期不同(一般以血紅素低於 11 g\u002FdL 為參考),不能一看血比容下降就當缺鐵;其二,高凝狀態解釋了孕期與產後為何是靜脈血栓栓塞的高風險期,也是產後血栓靜脈炎題型的共同基礎。另外因孕期白血球本來就偏高,產後發燒判斷感染時不能只看白血球數值,需併看體溫型態與局部徵象。可延伸複習:心搏量與心輸出量增加、血液稀釋對藥物濃度的影響。",[24,27,30,32,34],{"term":25,"count":26},"雌性素",4,{"term":28,"count":29},"妊娠生理性貧血",3,{"term":31,"count":10},"血漿容積增加",{"term":33,"count":10},"孕期高凝狀態",{"term":35,"count":10},"白血球計數",[37,40,44,49,54,59],{"webId":38,"stem":39,"number":29,"year":9,"session":10},"nurse-115-1-maternal-pediatric-003","張女士，懷孕期頻繁噁心嘔吐的情況很不舒服，下列護理指導何者較不合適？",{"webId":41,"stem":42,"number":43,"year":9,"session":11},"nurse-115-2-maternal-pediatric-049","蘇小妹，3 歲，開顱手術後第 2 天，有關評估顱內壓上升的症狀，下列何項評估不適當？",49,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-106-2-maternal-pediatric-013","下列何者為運用門閾理論來緩解宮縮疼痛不適的措施？",13,106,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-107-2-maternal-pediatric-051","10 歲的阿偉出現發燒、頭痛、頸背僵硬等症狀，經評估有腦膜炎徵象，下列何者不是腦膜炎的徵象？",51,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-015","有關待產時胎心音之監測，下列敘述何者錯誤？",15,109,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-110-1-maternal-pediatric-049","有關兒童常用的鴉片類製劑（opioids）疼痛處置，下列敘述何者正確？",110,"2026-08-06",1787299089150]