[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-2-產兒科護理學-008","nurse-111-2-maternal-pediatric-008",111,2,8,"有關懷孕期間血液系統的變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血漿量比未懷孕時增加","血比容比未懷孕時降低","纖維蛋白原數目比未懷孕時增加","血小板數目比未懷孕時增加","D",null,[],"本題考點在懷孕期血液系統的生理性變化方向。依妊娠生理，血漿量增加約40～50%、紅血球量增幅較小，形成「稀釋性貧血」，故血比容下降；同時凝血因子（含纖維蛋白原）上升，使孕婦呈高凝狀態。血小板數目在懷孕時多為不變或因血液稀釋而略降，並不會增加，故D「血小板增加」為錯誤敘述、即為答案。考點在於血漿稀釋使血比容與血小板不升反降。選項A血漿量增加正確；選項B血比容降低正確，即生理性貧血；選項C纖維蛋白原增加正確，是產後止血的準備、也是孕婦易血栓的原因。三個錯項皆為真實變化，唯D方向錯誤。","記憶「血漿多、血球稀、凝血強」：血漿量增幅大於紅血球，稀釋出生理性貧血（Hb約降至11 g\u002FdL為界）；纖維蛋白原、第VII、VIII、IX、X因子上升，纖溶下降，形成高凝狀態以備產後止血，但也使孕產婦成為深部靜脈血栓與肺栓塞高風險族群。血小板通常穩定或輕微下降（gestational thrombocytopenia），若明顯下降需警覺子癇前症或HELLP症候群。",[24,27,30,32,34],{"term":25,"count":26},"纖維蛋白原",3,{"term":28,"count":29},"妊娠血液變化",1,{"term":31,"count":29},"生理性貧血",{"term":33,"count":29},"血漿量增加",{"term":35,"count":29},"血小板",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-009","懷孕 24 週婦女，孕前 BMI 為 23，目前體重比孕前增加 5 公斤，血色素（Hb）＝11.2 g\u002FdL，血比容（Hct）＝35%，目前飲食指導內容，下列何者除外？",9,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-maternal-pediatric-025","王女士，28 歲第一胎，產後 2 個月，月經尚未來，採純母乳哺餵。下列何項避孕措施最不推薦？",25,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-039","有關多囊性卵巢疾病的表徵，下列何者錯誤？",39,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-3-maternal-pediatric-007","王女士，G 1 P 0 ，妊娠 39 週，因規則陣痛入院待產，護理紀錄上寫著「Effacement：50%」，其代表的意思為何？",7,113,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-115-1-maternal-pediatric-011","原本對環境充滿好奇且多言的待產婦突然對護理師說：「你看我腿一直抖…怎麼會這樣…然後我開始感覺現血量變多，宮縮變密且更痛，我是不是快生了啊？」護理師可由其言語與行為判斷產程可能進入下列何階段？",11,115,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-2-maternal-pediatric-025","王女士為第二胎，採陰道生產，新生兒體重 3980 公克，抱怨子宮收縮痛，護理師評估子宮收縮呈堅硬狀態。有關產後痛的說明，下列何者錯誤？",106,"2026-09-04",1788510739041]