[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-108-1-產兒科護理學-032","nurse-108-1-maternal-pediatric-032",108,1,32,"有關前置胎盤之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可能造成的原因為多胎妊娠、高齡、前次剖腹產等","部分性前置胎盤仍可陰道生產","前置胎盤之診斷在懷孕 30 週前即可確認","孕婦若有前置胎盤情形一律採絕對臥床休息","A",null,[],"本題考點是前置胎盤的成因與臨床特性。依子宮內膜受損或胎盤面積增大的機轉,多胎妊娠、高齡、多產及前次剖腹產造成的子宮瘢痕,都會使胎盤易著床於子宮下段而形成前置胎盤,故選A。B錯在部分性前置胎盤仍覆蓋部分子宮頸內口,陰道生產出血風險高,一般以剖腹產為主。C錯在胎盤有移行現象,須待懷孕約30週以後超音波才能確診,30週前確認並不可靠。D錯在處置依出血與分級個別化,並非一律採絕對臥床。","前置胎盤依覆蓋子宮頸內口程度分完全、部分、邊緣及低位。典型症狀為無痛性、反覆的鮮紅色陰道出血,與胎盤早期剝離的痛性出血及子宮硬如板相對比。因胎盤移行,早期低位常隨子宮下段延展而上移,故延後複查。記憶口訣:前置無痛紅、剝離痛而硬。可連結禁止陰道內診、雙套準備與Rh血型出血監測等處置概念。",[24,27,29],{"term":25,"count":26},"無痛性陰道出血",2,{"term":28,"count":10},"前置胎盤成因",{"term":30,"count":10},"胎盤移行",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-108-1-maternal-pediatric-033","有關安胎藥物之敘述，下列何者正確？",33,{"webId":37,"stem":38,"number":39,"year":9,"session":26},"nurse-108-2-maternal-pediatric-049","小明，8 個月大，疑似患有胃食道逆流（gastroesophageal reflux, GER）接受多項診斷檢查，下列何者正確？",49,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,109,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-110-2-maternal-pediatric-021","蔡女士 18 歲，表示：「我都用保險套避孕，前幾天跟我男友發生關係，忘記要用套子，可是我們不想懷孕。」，下列敘述何者最適當？",21,110,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-111-2-maternal-pediatric-065","有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",65,111,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-112-3-maternal-pediatric-019","下列何種免疫球蛋白胎兒無法自行合成，需於出生後從母乳中獲得？",19,112,3,"2026-09-04",1788510710497]