[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-110-2-產兒科護理學-018","nurse-110-2-maternal-pediatric-018",110,2,18,"有關產婦產後第 1 天的生理變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"白血球增多症（leukocytosis）","凝血因子（coagulation）減少","黃體素（progesterone）減少","雌性素（estrogen）減少","B",null,[],"本題考點為產後第一天的正常生理變化。依產褥期生理,產後屬高凝血狀態,凝血因子與纖維蛋白原「增加」以防止產後出血,故敘述「凝血因子減少」錯誤,選B。(A)產後可見生理性白血球增多症,屬正常的壓力與發炎反應。(C)胎盤娩出後黃體素急遽下降,正確。(D)雌性素亦隨胎盤剝離而下降,正確。考點在於產後為高凝血傾向、凝血因子上升而非減少,這也是產後靜脈栓塞(如深部靜脈栓塞、肺栓塞)風險升高的重要原因。","產後生理:胎盤娩出後estrogen、progesterone驟降;凝血因子與纖維蛋白原上升形成高凝狀態(利於止血,但增VTE風險);白血球可短暫升高至15,000–30,000\u002FµL屬生理性;子宮復舊、惡露變化。記憶:「荷爾蒙掉、凝血升、白血球高」。護理:早期下床活動預防血栓、觀察子宮收縮與惡露。可連結:產後出血、深部靜脈栓塞預防、子宮復舊評估、惡露分期。",[24,27,30,32,34],{"term":25,"count":26},"凝血因子增加",3,{"term":28,"count":29},"產褥期生理",1,{"term":31,"count":29},"產後高凝血狀態",{"term":33,"count":29},"生理性白血球增多",{"term":35,"count":29},"雌性素與黃體素下降",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-maternal-pediatric-019","張女士產後第一天，表示：「初乳黃黃黏黏的，聽說對嬰兒不好，等等我把它擠掉以後再餵奶。」，下列敘述何者正確？",19,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-maternal-pediatric-035","有關卵巢癌的醫療措施，下列敘述何者錯誤？",35,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-maternal-pediatric-049","有關兒童疼痛的處理，下列何者最不適當？",49,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-112-3-maternal-pediatric-007","張女士，G 1 P 0 ，懷孕 40 週，下列何者是真陣痛的特徵？",7,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-1-maternal-pediatric-011","有關生產疼痛理論與緩解措施之敘述，下列何者正確？",11,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-maternal-pediatric-005","下列何者為懷孕的確實徵象？",5,115,"2026-09-04",1788510729761]