[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-107-1-產兒科護理學-034","nurse-107-1-maternal-pediatric-034",107,1,34,"承上題，針對何女士的狀況，下列措施何者較適當？",{"A":14,"B":15,"C":16,"D":17},"依醫囑使用抗生素，以預防感染","依醫囑提供個案腹部熱敷，以緩解腹部疼痛不適","依醫囑執行凝血篩檢試驗，以避免產時及產後出血合併症","依醫囑給予降血壓劑與強心利尿劑，以穩定血液動力","C",null,[],"本題考點在承上題胎盤早剝的優先照護措施。依病生理，胎盤早剝大量出血與胎盤後血塊會消耗凝血因子，易引發瀰漫性血管內凝血（DIC），故依醫囑執行凝血篩檢試驗以監測並預防產時與產後出血合併症最適當，選 C。A 抗生素預防感染並非胎盤早剝的核心緊急處置，其危機在出血與凝血異常而非感染。B 腹部熱敷不但無助於止血，反可能因血管擴張加重出血，且掩蓋病情，屬不當。D 降血壓劑合併強心利尿劑並非胎盤早剝的首要處置，過度降壓或利尿可能進一步減少子宮胎盤與器官灌流、加重休克風險。故監測凝血功能、備血準備娩出才是重點方向。","胎盤早剝的凝血危機：剝離面釋出組織凝血活素啟動凝血瀑布，大量消耗纖維蛋白原與血小板→DIC，臨床見出血不止、傷口滲血、瘀斑。照護重點：監測生命徵象與出血量、建立靜脈通路與備血、追蹤凝血指標（PT\u002FaPTT、fibrinogen、血小板、D-dimer）、依情況儘速娩出以移除病灶。記憶：胎盤早剝『怕的是出血與 DIC』，故驗凝血、備血、準備娩出是主軸，熱敷與利尿反而有害。可連結概念：DIC、凝血篩檢、胎盤早剝處置、備血與娩出時機。",[24,27,30,33],{"term":25,"count":26},"胎盤早期剝離",7,{"term":28,"count":29},"產後出血預防",5,{"term":31,"count":32},"瀰漫性血管內凝血 DIC",4,{"term":34,"count":10},"凝血篩檢",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-maternal-pediatric-035","下列那些生殖道感染疾病，容易造成女性骨盆腔感染？①披衣菌感染 ②淋病 ③梅毒 ④生殖器疱疹",35,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"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？",51,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-maternal-pediatric-065","有關囊性纖維變性（Cystic Fibrosis）之敘述，下列何者錯誤？",65,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-maternal-pediatric-023","劉女士剖腹產後因身體不適，且寶寶黃疸需住院照光治療而無法一同出院，她覺得自己不是好媽媽。下列何項措施對其親子依附關係的建立較不適當？",23,109,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-110-2-maternal-pediatric-067","阿強，9 歲，罹患 G-6-PD 缺乏症，因全身黃疸住院治療，有關此疾病之誘發因子，下列敘述何者錯誤？",67,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-maternal-pediatric-021","黃女士 G 2 P 2 ，大寶剛剛滿 2 歲，今天預計出院回家，產婦擔心同時照顧 2 個孩子會心力交瘁，下列何者有關黃女士的親子依附關係出現時，最需要特別關注與持續追蹤？",21,112,"2026-09-04",1788510703581]