[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-112-3-產兒科護理學-021","nurse-112-3-maternal-pediatric-021",112,3,21,"有關 HELLP 症候群的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"H：指紅血球溶血","EL：指胰臟酵素值上升","LP：指血小板少於 200,000／mm 3","常發生在第一妊娠期","A",null,[],"本題考點在於 HELLP 症候群的組成定義。HELLP 為妊娠高血壓的嚴重併發症，字母對應：H 代表溶血（Hemolysis，紅血球溶血），EL 代表肝酵素上升（Elevated Liver enzymes），LP 代表血小板低下（Low Platelets），故 A「H 指紅血球溶血」正確。B 錯在 EL 是肝酵素而非胰臟酵素上升；C 錯在 LP 指血小板減少（通常 \u003C 100,000\u002Fmm³），非「少於 200,000」；D 錯在 HELLP 多發生於第三妊娠期（妊娠後期），而非第一妊娠期。","HELLP 由溶血、肝酵素升高、血小板低下三要件構成，是子癲前症的重症變異型，即使血壓未達極高仍可危及母嬰。記法直接拆字母：Hemolysis／Elevated Liver enzymes／Low Platelets。好發於妊娠晚期至產後，需與急性妊娠脂肪肝鑑別。",[24,26,29,32],{"term":25,"count":10},"HELLP 症候群",{"term":27,"count":28},"血小板低下",2,{"term":30,"count":31},"溶血與肝酵素",1,{"term":33,"count":31},"妊娠高血壓重症",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-113-2-maternal-pediatric-018","有關新生兒過渡期執行即刻母嬰肌膚接觸的敘述，下列何者為最佳時機及其理由？",18,113,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-114-1-maternal-pediatric-012","有關鼓勵孕產家庭與家中新成員－新生兒的依附關係的建立，下列敘述何者錯誤？",12,114,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-115-2-maternal-pediatric-010","監測待產婦胎心速率時，護理師發現胎心監測紀錄在胎動時有胎心率加速 10 bpm 的情形，下列何項處置較適宜？",10,115,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-107-1-maternal-pediatric-004","有關孕期婦女之生理變化，下列何者為異常？",4,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-108-1-maternal-pediatric-038","最常導致愛滋病患神經系統感染的病原體為何？",38,108,"2026-09-04",1788510745422]