[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-068","nurse-111-1-maternal-pediatric-068",111,1,68,"有關血友病關節血腫的臨床表徵，最常發生於何部位？",{"A":14,"B":15,"C":16,"D":17},"腕關節","肘關節","踝關節","膝關節","D",null,[],"本題考點是血友病關節出血的好發部位。依血友病病生理，凝血因子缺乏使負重與活動量大的大關節易反覆自發性出血，其中以膝關節最常見，選 D。A 腕關節活動與負重相對較少，較非典型好發處。B 肘關節雖也是常見出血部位，但發生頻率次於膝關節。C 踝關節同屬常見負重關節，出血機率高但仍以膝關節居首。臨床上關節血腫以膝、踝、肘為主，膝關節排序第一。","血友病為 X 染色體隱性遺傳（第八或第九凝血因子缺乏），特徵是關節腔反覆出血（hemarthrosis），好發於膝、踝、肘等承重與活動大的鉸鏈關節。反覆出血會導致滑膜增生、軟骨破壞與慢性血友病性關節病變。急性期處置為 RICE（休息、冰敷、加壓、抬高）並補充凝血因子，避免熱敷與抗血小板藥。記憶排序：膝＞踝＞肘。可延伸連結凝血因子替代療法與關節保護。",[24,27,30,32,33],{"term":25,"count":26},"血友病",6,{"term":28,"count":29},"凝血因子缺乏",3,{"term":31,"count":10},"關節血腫hemarthrosis",{"term":17,"count":10},{"term":34,"count":10},"負重關節",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-069","小良，4 歲，身高 90 公分，患有生長素缺乏（growth hormone deficiency），有關護理措施，下列敘述何者不適當？",69,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-maternal-pediatric-005","陳女士，懷孕 32 週，預計採陰道生產。下列何項為最有效的伸展會陰部肌肉之產前運動？",5,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-maternal-pediatric-019","廖女士，41 歲，G 4 P 4 ，在今天早上 6 點以陰道分娩第四個女兒，現親子同室中，護理師詢問其他家人何時會來醫院，廖女士眼眶泛紅表示：「他們不會來啦，因為這胎又是女兒」，下列回應何者最適當？",19,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-maternal-pediatric-037","有關日本腦炎的症狀與處置，下列敘述何者錯誤？",37,113,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-3-maternal-pediatric-041","陳小妹，出生後診斷大血管轉位（transposition of the great arteries, TGA），醫囑服用前列腺素（Prostaglandin E 1 ），有關此藥的使用目的，下列敘述何者正確？",41,114,{"webId":61,"stem":62,"number":43,"year":63,"session":49},"nurse-106-2-maternal-pediatric-005","孕期婦女需增加碘的攝取，主要促進胎兒何部分的發育？",106,"2026-09-04",1788510735991]