[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-115-2-產兒科護理學-020","nurse-115-2-maternal-pediatric-020",115,2,20,"有關胎盤早期剝離的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常見的症狀是毫無預警無痛性的陰道出血","當出血滲入子宮肌層導致庫菲勒氏子宮（Couvelaire uterus）","胎盤早期剝離的發生與逆行性感染有關","因剝離時出血易出現低張性子宮收縮","B",null,[],"本題考點是胎盤早期剝離的病生理與其與前置胎盤的鑑別。依胎盤早期剝離的機轉，剝離處出血若被阻擋而形成隱藏性出血，血液會滲入子宮肌層，破壞肌纖維並使子宮外觀呈紫藍色，稱庫菲勒氏子宮（Couvelaire uterus），故 B 正確。A 錯：毫無預警的無痛性陰道出血是前置胎盤的典型表現，胎盤早期剝離多伴隨持續腹痛與子宮壓痛。C 錯：其危險因子為妊娠高血壓、腹部外傷、吸菸、藥物濫用與子宮過度膨脹，與逆行性感染無關。D 錯：出血刺激下子宮呈高張性收縮、硬如板狀，並非低張性收縮。","兩者可用對照表記憶：胎盤早期剝離為疼痛性出血、子宮硬且壓痛、胎心型態常異常、外露出血量與病情嚴重度不成比例；前置胎盤為無痛性鮮紅出血、子宮柔軟、胎位常異常且禁做陰道內診。肌層浸潤破壞凝血因子消耗，是胎盤早期剝離容易併發瀰漫性血管內凝血（DIC）與腎衰竭的原因，也是護理監測凝血功能與尿量的依據。延伸可連結剝離分度、隱藏性與外顯性出血的差異，以及子宮基底高度連續測量作為內出血累積的觀察指標。",[24,27,30,33],{"term":25,"count":26},"胎盤早期剝離",7,{"term":28,"count":29},"前置胎盤鑑別",3,{"term":31,"count":32},"Couvelaire uterus",1,{"term":34,"count":32},"高張性子宮收縮與 DIC",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-021","葉女士，34 歲，G 1 P 0 ，於子宮頸全開後用力 2 小時，太過疲憊無法用力，準備使用真空吸引。有關真空吸引的使用，下列敘述何者最適當？",21,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-maternal-pediatric-067","有關兒童感染人類免疫缺乏病毒（HIV）的症狀，下列何者錯誤？",67,106,{"webId":46,"stem":47,"number":32,"year":48,"session":32},"nurse-107-1-maternal-pediatric-001","有關我國婦嬰生命統計之概況，下列何者正確？",107,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-108-1-maternal-pediatric-039","有關骨盆腔炎之敘述，下列何者正確？",39,108,{"webId":55,"stem":56,"number":29,"year":57,"session":10},"nurse-109-2-maternal-pediatric-003","鄭女士因月經過期 8 週而至門診驗孕，她已有一對雙胞胎子女，曾於懷孕 8 週時胚胎因無胎心音而入院接受中止妊娠術，此次門診確認鄭女士已懷孕，因此其孕產史紀錄，下列何項正確？",109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-maternal-pediatric-037","有關更年期婦女的護理指導，下列何者不適當？",37,110,"2026-08-06",1787299007095]