[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-067":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-111-1-產兒科護理學-067","nurse-111-1-maternal-pediatric-067",111,1,67,"有關尚未接受治療之缺鐵性貧血（iron deficiency anemia）及地中海型貧血（thalassemia）病童血液檢驗之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"缺鐵性貧血病童之平均血球血紅素（MCH）低於正常；地中海型貧血病童則正常","缺鐵性貧血病童之平均血球容積（MCV）正常；地中海型貧血病童則低於正常","缺鐵性貧血病童之血清鐵質降低；地中海型貧血病童鐵蛋白（ferritin）則上升","兩者病童發病時間皆常見於 6～24 個月大","C",null,[],"本題考點是缺鐵性貧血與地中海型貧血的血液檢驗鑑別。依鐵代謝，缺鐵性貧血因鐵儲存耗竭，血清鐵與鐵蛋白（ferritin）皆下降；地中海型貧血並非缺鐵、體內鐵反而偏高，鐵蛋白正常或上升，選項 C 敘述正確，故選 C。A 錯，兩者皆為小球性貧血，MCH 都會偏低，非地中海型正常。B 錯，兩者 MCV 皆下降，非缺鐵者正常。D 錯，缺鐵性貧血好發於 6～24 個月的快速生長期，但地中海型為遺傳性、常於數月大即因家族篩檢或溶血表現，兩者發病時間並不相同。","兩者同為小球低血色素性貧血（MCV、MCH 皆降），鑑別關鍵在鐵指標與紅血球分佈：缺鐵性血清鐵低、ferritin 低、總鐵結合能力（TIBC）升、RDW 大；地中海型鐵蛋白正常或高、RDW 較正常、可見標靶細胞，確診靠血紅素電泳。記憶點：都小球，但「缺鐵缺鐵、地中海不缺鐵反而多」。切勿對地中海型盲目補鐵以免鐵過載。可延伸連結血紅素電泳與鐵過載監測。",[24,27,29,31,33],{"term":25,"count":26},"缺鐵性貧血",6,{"term":28,"count":10},"地中海型貧血",{"term":30,"count":10},"鐵蛋白ferritin",{"term":32,"count":10},"小球性貧血",{"term":34,"count":10},"血紅素電泳",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-068","有關血友病關節血腫的臨床表徵，最常發生於何部位？",68,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-maternal-pediatric-004","有關懷孕時因雌性素增加，造成孕期常見的不適，下列敘述何者正確？",4,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-maternal-pediatric-018","丁女士主訴無法忍受生產疼痛並接受 meperidine（Demerol）注射，給藥後護理師監測其呼吸速率低於每分鐘 10 次，下列何種藥物能改善此情形？",18,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-maternal-pediatric-036","有關高膽紅素血症新生兒的護理措施，下列何者最適當？",36,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-maternal-pediatric-040","何小妹，8 歲，罹患先天性心臟病，需服用毛地黃，母親詢問服藥注意事項，下列回答何者錯誤？",40,114,3,{"webId":62,"stem":63,"number":43,"year":64,"session":49},"nurse-106-2-maternal-pediatric-004","有關精液分析檢查的說明，下列何者錯誤？①禁慾 3～7 天再採檢 ②使用保險套和性交中斷法來收集精液 ③留取精液後 2～3 小時內送至檢查地點 ④精液必須冷凍保存",106,"2026-09-04",1788510735965]