[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-113-1-產兒科護理學-005","nurse-113-1-maternal-pediatric-005",113,1,5,"有關妊娠期的心臟血管系統生理變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"出現生理性白血球增多症，白血球數量可增加到15,000\u002Fmm3","妊娠生理性貧血是因紅血球攜鐵蛋白的能力降低所致","心輸出量增加30～50%，以供應子宮、胎盤需要血流","血漿中白蛋白降低，使得水分易滯留在血管間隙形成水腫","B",null,[],"本題考點在於妊娠期心臟血管系統的生理變化，屬反向題，須找出敘述錯誤者。錯誤敘述為 B「妊娠生理性貧血是因紅血球攜鐵蛋白能力降低」。依血液生理，妊娠生理性貧血（稀釋性貧血）的成因是血漿容積增加約 40～50%、遠大於紅血球增加幅度，造成血液被稀釋、血比容下降，並非攜鐵蛋白能力降低，故 B 錯誤為答案。A 正確，孕期出現生理性白血球增多，可達約 15,000\u002Fmm³。C 正確，心輸出量增加約 30～50% 以供應子宮胎盤循環。D 正確，血漿白蛋白濃度下降使膠體滲透壓降低，水分滯留於組織間隙形成生理性水腫。故選 B。","病生理延伸：孕期血漿容積增加多於紅血球量增加（約 45% vs 20～30%），造成『稀釋性貧血』，血比容生理性下降至約 32～34%；這與缺鐵性貧血機轉不同，後者才與鐵供應相關。心血管其他變化包括心跳增快 10～15 次\u002F分、心輸出量上升、周邊血管阻力下降、子宮增大壓迫下腔靜脈可致仰臥低血壓症候群。白蛋白稀釋加上靜脈回流受阻，形成下肢水腫。記憶關鍵：孕期是『容量超載、稀釋為主』的生理適應。",[24,27,30,32],{"term":25,"count":26},"妊娠生理性貧血",3,{"term":28,"count":29},"心輸出量增加",2,{"term":31,"count":10},"血漿容積增加稀釋效應",{"term":33,"count":10},"膠體滲透壓下降",[35,39,42,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-maternal-pediatric-006","有關孕期的營養需求，下列敘述何者錯誤？",6,{"webId":40,"stem":41,"number":29,"year":9,"session":26},"nurse-113-3-maternal-pediatric-002","李女士 24 歲，G 1 P 0 ，現懷孕 32 週，產檢皆正常。主訴頻尿但無灼熱感，睡覺平躺時很容易頭暈、心悸。詢問護理師原因，下列回應何者最恰當？",{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-1-maternal-pediatric-046","莉莉，4個月，此次因唇裂（cleft lip）住院，醫師安排進行唇裂修補術，在手術後的照護，下列敘述何者較適當？",46,114,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-115-2-maternal-pediatric-044","小美，3 歲，罹患癌症需接受化學藥物治療，住院抽血檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 400\u002Fmm 3 ，下列護理措施何者正確？",44,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-maternal-pediatric-038","全子宮切除手術之術前腸道準備，下列何者不恰當？",38,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-maternal-pediatric-072","王小弟，5 歲，因心臟病需進行胸骨切開式開心手術。有關傷口換藥的術前心理準備，下列護理措施何者合適？",72,108,"2026-09-04",1788510750679]