[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"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-112-1-產兒科護理學-033","nurse-112-1-maternal-pediatric-033",112,1,33,"當產科急症造成瀰漫性血管內凝血（Disseminated Intravascular Coagulation, DIC）時，下列檢驗數值何者正確？①凝血酶原時間（PT）、部分凝血酶原時間（PTT）延長 ②D-dimer 數值下降 ③血小板數值下降 ④纖維蛋白原（fibrinogen）數值上升",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","③④","B",null,[],"本題考點為瀰漫性血管內凝血(DIC)的實驗室數值變化。依據 DIC 廣泛微血栓形成消耗凝血因子與血小板、續發纖溶亢進的病生理,凝血酶原時間(PT)與部分凝血酶原時間(PTT)因凝血因子耗竭而延長(敘述①對),血小板因大量消耗而下降(敘述③對),故①③正確,選 B。敘述②錯誤,DIC 因續發性纖維蛋白溶解使 D-dimer 上升而非下降,D-dimer 升高正是纖溶產物增加的指標;敘述④錯誤,纖維蛋白原(fibrinogen)因被大量消耗而下降,而非上升。故正確組合為①③。","DIC 記憶核心:凝血因子與血小板被「消耗」(用光)→ PT\u002FPTT 延長、血小板與 fibrinogen 下降;纖維蛋白被「分解」→ D-dimer 與 FDP 上升。一句話:「凝血物質全下降,分解產物全上升。」產科誘因包括胎盤早期剝離、羊水栓塞、胎死宮內、重度子癇前症。凡選項提到 D-dimer 下降或 fibrinogen 上升皆與 DIC 相反,為常見陷阱。",[24,27,29],{"term":25,"count":26},"瀰漫性血管內凝血 DIC",4,{"term":28,"count":10},"凝血因子消耗",{"term":30,"count":10},"D-dimer 與 fibrinogen",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-1-maternal-pediatric-034","張女士，懷孕 8 週，主訴陰道點狀出血、腹部微痛，超音波檢查子宮頸口未開，可能為下列何種情形？",34,{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-112-2-maternal-pediatric-050","小偉，2 歲，入住加護病房的第二天早晨哭喊著要媽媽，拒絕護理師的安撫，且出現身體攻擊行為。此行為屬於分離焦慮的那一期？",50,2,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-113-1-maternal-pediatric-014","何女士，G1P1，採陰道分娩，無任何產後合併症，產後4小時，觸診子宮底時發現位於臍上一指且偏右，下列何者為首要的護理措施？",14,113,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-114-2-maternal-pediatric-012","吳女士，G 1 P 1 ，剖腹產後第 2 天，詢問：「我肚子脹脹的、不舒服，可以不要下床嗎？」下列護理措施何者最適當？",12,114,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-106-1-maternal-pediatric-016","王女士，46 歲，因子宮肌瘤接受子宮切除手術，有關術後出院照護指導內容，下列何者適當？",16,106,{"webId":57,"stem":58,"number":39,"year":59,"session":10},"nurse-107-1-maternal-pediatric-050","有關為白血病病童輸注紅血球濃縮液（packed RBC）的護理敘述，下列何者錯誤？",107,"2026-09-04",1788510742703]