[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-071":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-111-2-產兒科護理學-071","nurse-111-2-maternal-pediatric-071",111,2,71,"花花，3 歲，罹患癌症需住院接受化學藥物治療。目前血液檢查結果為：白血球：1,200\u002Fmm 3 ，其中多形核白血球（segmented neutrophi1）：11%、帶狀白血球（band neutrophil）：1%、單核球（monocyte）： 2%、淋巴球（lymphocyte）：37%。請問其絕對嗜中性白血球（absolute neutrophi1 count, ANC）數量為何？",{"A":14,"B":15,"C":16,"D":17},"24","144","156","444","B",null,[],"本題考點為絕對嗜中性白血球數(ANC)的計算。ANC 公式為白血球總數 ×(節狀核 segmented% + 帶狀核 band%)。代入數據：白血球 1,200\u002Fmm³，嗜中性球比例為 segmented 11% + band 1% = 12% = 0.12，故 ANC = 1,200 × 0.12 = 144，答案為 B。其餘選項為計算干擾：A(24)僅計入單核球等非嗜中性球比例而誤算；C(156)可能誤加入單核球 2% 一併計算(11+1+2=14%×1200)；D(444)則錯將淋巴球等一併納入。考點在於正確認出 ANC 只計節狀核與帶狀核嗜中性球，並掌握公式運算。","ANC =(總白血球數)×(segs% + bands%)\u002F100，臨床用來評估感染風險。ANC\u003C500\u002Fmm³ 屬嚴重嗜中性球低下，感染風險極高須採保護性隔離。化療後骨髓抑制常見此值下降。注意單核球、淋巴球不列入 ANC，是計算陷阱所在。",[24,26,29,31],{"term":25,"count":10},"骨髓抑制",{"term":27,"count":28},"絕對嗜中性白血球數",1,{"term":30,"count":28},"ANC 計算公式",{"term":32,"count":28},"節狀核與帶狀核",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-072","小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-022","丁女士，妊娠 12 週，接受第二次產前檢查，發現其紅血球平均容積（MCV）為 60 fl。針對丁女士的狀況，下列何者為最優先處置？",22,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-114-1-maternal-pediatric-020","王女士使用催產素引產，胎兒監測器呈現宮縮頻率及持續時間為 60\" \u002F1'30\" -2'，宮縮時壓力100 mmHg，子宮頸口一直停留在4公分，胎心音為135～150 bpm，下列何者為最優先處置？",20,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-024","有關子宮頸癌的高危險因子，下列何者最不適當？",24,115,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-107-1-maternal-pediatric-008","王女士於醫師建議下，於妊娠 7 週進行超音波檢查，護理師的說明，下列何者不適當？",107,"2026-09-04",1788510739621]