[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-041":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-113-1-產兒科護理學-041","nurse-113-1-maternal-pediatric-041",113,1,41,"有關嬰幼兒缺鐵性貧血（iron deficiency anemia）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"屬體染色體隱性遺傳疾病","常發生於6～24個月大的足月兒","紅血球體積比正常紅血球大","長期貧血可能導致心跳過慢之代償反應","B",null,[],"本題考點在於嬰幼兒缺鐵性貧血的流行病學與血液學特徵。依營養學,母體儲鐵約於出生後4～6個月耗盡,足月兒約在6～24個月因快速生長且飲食鐵攝取不足而好發缺鐵性貧血,故B正確。A錯:缺鐵性貧血是營養性問題,並非體染色體隱性遺傳疾病(遺傳性者如地中海型貧血)。C錯:缺鐵性貧血屬小球性低血色素貧血,紅血球體積(MCV)比正常小而非大(大球性見於B12\u002F葉酸缺乏)。D錯:長期貧血的代償反應是心跳加快(心搏過速)以增加輸出量,而非心跳過慢。辨識關鍵在好發年齡6～24個月足月兒。","缺鐵性貧血血液學:小球性(↓MCV)、低血色素(↓MCH)、血清鐵蛋白ferritin下降、TIBC上升。早產兒儲鐵少更早出現(約2～3個月)。預防:純母乳兒4～6個月起補充鐵、避免過量牛奶(牛奶鐵含量低且影響鐵吸收、可能引起腸道微出血)。記憶:小球低色素+ferritin↓=缺鐵;貧血代償一律心跳快、呼吸快。",[24,27,29,31],{"term":25,"count":26},"缺鐵性貧血",6,{"term":28,"count":10},"好發年齡6-24個月",{"term":30,"count":10},"小球性低血色素",{"term":32,"count":10},"貧血代償心搏過速",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-042","小華，6個月，罹患兒童癌症，目前接受化學治療且須治療半年以上，則小華可以接種下列何種疫苗？",42,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-038","有關病童接受氧氣治療的照護措施，下列敘述何者最適當？",38,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-maternal-pediatric-032","小芬，6 歲，罹患骨髓炎（osteomyelitis），有關護理措施，下列敘述何者不適當？",32,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-maternal-pediatric-030","黃小妹採純母乳哺餵，食慾不錯，出生第 3 天媽媽發現黃小妹臉上膚色黃黃的，測得血清膽紅素為 12 mg\u002FdL，護理師的相關解釋何者正確？",30,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-maternal-pediatric-074","若注射化學藥物出現紅腫、疼痛及水泡時，有關下列照護及處理步驟，其順序何者正確？①每日追蹤滲漏部位變化 ②以空針反抽滲漏部位的藥物 ③在滲漏部位局部冰敷或熱敷或塗抹藥物 ④停止注射",74,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-maternal-pediatric-028","護理師執行產後新生兒立即性護理時，發現劉小弟頭頂部有一局部軟組織腫脹，觸診組織鬆軟且外緣界線不清楚，下列敘述何者正確？",28,108,"2026-09-04",1788510750995]