[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-068":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-068","nurse-110-2-maternal-pediatric-068",110,2,68,"有關鐮狀細胞貧血的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"紅血球變形呈鐮刀狀","遺傳因子血紅素 S（Hgb S）造成紅血球變形","疼痛時可用 Aspirin 止痛","經由體染色體隱性遺傳而來","C",null,[],"本題考點是鐮狀細胞貧血的病理與用藥禁忌。考點在於此病於缺氧、脫水、酸中毒時紅血球易鐮狀化阻塞血管引發疼痛危象，止痛用藥須避免加重酸中毒與出血。選項C「疼痛時可用Aspirin止痛」錯誤，Aspirin具酸性且抑制血小板，可能誘發或加重鐮狀化與出血，臨床多以Acetaminophen或鴉片類止痛，故C為答案。A紅血球在缺氧下變形呈鐮刀狀，正確；B致病原因為異常血紅素S(Hgb S)使紅血球變形，正確；D屬體染色體隱性遺傳，正確。三者皆符合鐮狀細胞貧血的病理與遺傳特徵，唯C用藥觀念錯誤。","鐮狀細胞貧血因β球蛋白基因點突變產生Hgb S，去氧狀態下聚合使紅血球變鐮刀狀，導致溶血與血管阻塞性疼痛危象。誘發鐮狀化三要素:缺氧、脫水、酸中毒(加感染、寒冷)。危象照護原則:給氧、水分、鎮痛(避Aspirin)、保暖。記憶:HbS怕缺氧、缺水、酸;止痛選普拿疼或嗎啡不選阿斯匹靈。可連結:自體染色體隱性遺傳、脾臟隔離危象、需接種疫苗防莢膜菌感染。",[24,26,28,31],{"term":25,"count":10},"鐮狀細胞貧血",{"term":27,"count":10},"Aspirin禁忌",{"term":29,"count":30},"血紅素S",1,{"term":32,"count":30},"疼痛危象",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-069","小明，3 歲，罹患神經母細胞瘤，進行第一次化學治療需要裝置人工血管，有關人工血管的敘述，下列何者不適當？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-005","李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",5,111,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-112-1-maternal-pediatric-019","丁女士，使用催產素引產，以每小時 9 c.c.靜脈滴注，胎兒監視器顯示變異性減速，此時最優先之處置為何？",19,112,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-113-1-maternal-pediatric-007","葉女士，28歲，G1P0，待產過程中突然自然破水，內診發現子宮頸口開8公分、變薄程度80%、先露部位+1。下列何者為最優先之護理處置？",7,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-011","郭女士，懷孕 39 週。主訴：「自今天凌晨 1 點開始陸續出現陣痛，有時半小時，有時 20 分鐘痛一次，不太規則。大概從半夜 3 點開始，宮縮變得規則且明顯，大約 5 分鐘一次」。早上 6 點因子宮頸口開 3 公分且 3～4 分鐘宮縮一次而入院待產。下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分陰道娩出一健康女嬰。下午 4 點 20 分胎盤娩出。請問郭女士此次生產第一產程時間應記錄為何？",11,114,{"webId":59,"stem":60,"number":41,"year":61,"session":30},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",106,"2026-09-04",1788510730255]