[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-1-產兒科護理學-006","nurse-114-1-maternal-pediatric-006",114,1,6,"下列何項血液檢驗值，可以用來篩檢孕婦是否為海洋性貧血帶因者？",{"A":14,"B":15,"C":16,"D":17},"血色素（Hb）","平均紅血球體積（MCV）","鐵離子（Fe ++）","α-胎兒蛋白（α-AFP）","B",null,[],"本題考點在於海洋性貧血（地中海型貧血）帶因者的初步篩檢指標。依海洋性貧血的血液學特徵，帶因者的紅血球呈小球性、低色素，故平均紅血球體積（MCV）下降（常小於 80 fL），是最簡便的第一線篩檢工具，B 正確。A 血色素（Hb）為貧血程度指標，帶因者可能正常或僅輕度下降，無法特異區辨；C 鐵離子（Fe++）用於評估缺鐵性貧血，海洋性貧血並非缺鐵所致；D α-胎兒蛋白（α-AFP）用於神經管缺陷與唐氏症篩檢，與海洋性貧血無關。故選 B。","海洋性貧血與缺鐵性貧血同屬小球性低色素貧血，皆 MCV 下降，故 MCV 低只是「起點」，需再以鐵蛋白、血紅蛋白電泳或基因檢測鑑別。台灣產前篩檢流程：夫妻 MCV 皆小於 80 fL 才進一步驗配偶與電泳，以偵測 α 或 β 型帶因，避免重型胎兒。記憶：MCV 小是門檻、電泳與基因才確診。",[24,27,29,31],{"term":25,"count":26},"海洋性貧血",4,{"term":28,"count":10},"平均紅血球體積 MCV",{"term":30,"count":10},"小球性低色素貧血",{"term":32,"count":10},"帶因者篩檢",[34,38,42,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-007","有關待產婦因過度產痛所引起的不良生理變化，下列敘述何者錯誤？",7,{"webId":39,"stem":40,"number":41,"year":9,"session":41},"nurse-114-3-maternal-pediatric-003","李女士，懷孕 28 週，主訴有腿部抽筋和背痛的症狀，護理師評估後，發現她僅攝取少量的乳製品，且很少吃綠葉蔬菜。根據她的情況，鈣質攝取不足最可能導致下列那一種健康問題？",3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-115-1-maternal-pediatric-047","王小弟，8 個月，罹患先天性膽道閉鎖，手術後偶有膽道炎發生，有關飲食護理指導的敘述，下列何者正確？",47,115,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-106-2-maternal-pediatric-065","小華，5 歲，罹患大血管轉位（transposition of the great arteries;TGA），此次入院準備接受完全矯正手術。基於小華在心臟方面的認知，護理師應採取以下何種解釋方式較為適當？",65,106,2,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-029","有關新生兒皮膚之敘述，下列何者錯誤？",29,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,109,"2026-09-04",1788510757682]