[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-110-2-產兒科護理學-067","nurse-110-2-maternal-pediatric-067",110,2,67,"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？",{"A":14,"B":15,"C":16,"D":17},"最近是否吃蠶豆","最近是否服用 Aspirin","最近是否有使用樟腦丸","最近是否服用止咳藥","D",null,[],"本題考點是G-6-PD缺乏症(蠶豆症)的溶血誘發因子。考點在於G-6-PD缺乏使紅血球抗氧化能力不足，接觸氧化性物質即引發溶血，故評估誘發因子須詢問氧化性暴露。A蠶豆、B阿斯匹靈(Aspirin)、C樟腦丸(萘naphthalene)皆為典型氧化性誘發因子，屬正確的評估項目。選項D「最近是否服用止咳藥」非G-6-PD溶血的典型誘發因子，一般止咳藥並不屬氧化性藥物，故為題目所問的「錯誤」答案。此題考的判斷在於能否辨識蠶豆、氧化性藥物與樟腦為誘因，而止咳藥並不在此列。","G-6-PD為紅血球維持還原型麩胱甘肽(GSH)、抵禦氧化壓力的關鍵酵素;缺乏時氧化物使血紅素變性形成Heinz小體，引發急性溶血。常見誘因記憶:蠶豆、樟腦丸(萘)、磺胺類、抗瘧藥(primaquine)、Aspirin、Nitrofurantoin、感染。屬X染色體性聯隱性遺傳，男性多見。可連結:新生兒黃疸為早期表現;衛教重點在避免氧化性藥物與樟腦製品。止咳藥非氧化性，故非誘因。",[24,26,29,31],{"term":25,"count":10},"G-6-PD缺乏症",{"term":27,"count":28},"氧化性溶血",1,{"term":30,"count":28},"誘發因子",{"term":32,"count":28},"樟腦與Aspirin",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-068","有關鐮狀細胞貧血的敘述，下列何者錯誤？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-004","王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",4,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-018","剖腹產時，為減少藥物對胎兒的副作用，宜採用何種麻醉方式？",18,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-maternal-pediatric-006","有關孕期的營養需求，下列敘述何者錯誤？",6,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-010","有關第二產程的產痛來源，下列何者錯誤？",10,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",106,"2026-09-04",1788510730251]