[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-3-產兒科護理學-022","nurse-112-3-maternal-pediatric-022",112,3,22,"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？",{"A":14,"B":15,"C":16,"D":17},"安排丁女士接受基因檢查，以確認其是否為海洋性貧血症","安排配偶接受基因檢查，以確認其是否為海洋性貧血帶因者","安排配偶接受紅血球平均容積（MCV）之血液篩檢","安排丁女士接受絨毛膜取樣，以確認胎兒的基因型式","C",null,[],"本題考點在於孕婦紅血球平均容積（MCV）偏低時海洋性貧血篩檢的優先流程。個案 MCV 60 fl 為明顯小球性貧血，可能為海洋性貧血帶因，此時最優先且成本效益最高的步驟是先安排「配偶接受 MCV 血液篩檢」，以評估雙方是否同為帶因、判斷胎兒罹患重症的風險，故選 C。A、D 對孕婦本人先做基因檢查或絨毛膜取樣屬跳階、過度侵入；B 直接安排配偶基因檢查在配偶 MCV 未篩前亦嫌躁進，應先以 MCV 初篩再決定是否進一步基因確診。","海洋性貧血產前篩檢採階梯式：夫妻先驗 MCV（\u003C 80 fl 為異常初篩），若雙方皆偏低才進一步做血紅素電泳與基因分析，最後視需要以絨毛膜取樣或羊水確認胎兒基因型。先篩配偶 MCV 是判斷胎兒風險與否的關鍵分岔點，兼顧成本與非侵入性。",[24,27,29,31],{"term":25,"count":26},"海洋性貧血篩檢流程",1,{"term":28,"count":26},"MCV 小球性貧血",{"term":30,"count":26},"配偶篩檢",{"term":32,"count":26},"階梯式產前檢查",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-023","承上題，若配偶亦為海洋性貧血之帶因者，有關胎兒狀況之敘述，下列何者正確？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-019","有關正確含乳（suckling）的表徵，下列敘述何者不適當？",19,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-maternal-pediatric-013","林女士，G 1P 1，剖腹生產後一週，主訴全身發熱不舒服，身體檢查沒有明顯身體其他部位疼痛情況。若是此發熱不適與子宮復舊有關，下列何者為最可能的子宮復舊評估結果？",13,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-011","有關第三產程的護理，下列何者錯誤？",11,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-maternal-pediatric-005","王女士，孕前 BMI 值為 24，目前懷孕 25 週，體重較孕前增加 3 公斤，有關護理師的回應，下列何者較為適當？",5,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-maternal-pediatric-039","有關骨盆腔炎之敘述，下列何者正確？",39,108,"2026-09-04",1788510745426]