[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-022":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":10},"nurse-114-3-產兒科護理學-022","nurse-114-3-maternal-pediatric-022",114,3,22,"有關 HELLP 症候群，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"通常發生在第一妊娠期，但要及早終止妊娠","H：血尿","EL：肝臟酵素上升、肝腫大","LP：低血小板計數，少於 150,000\u002Fmm 3","C",null,[],"本題考點在於 HELLP 症候群的命名縮寫與臨床特徵。HELLP 代表溶血（Hemolysis）、肝酵素上升（Elevated Liver enzymes）、血小板低下（Low Platelets），正解 C「EL：肝臟酵素上升、肝腫大」符合定義。A 錯，HELLP 多發生在第三孕期或產後，而非第一妊娠期；B 錯，H 指紅血球溶血而非血尿；D 錯，低血小板的診斷界值一般為低於 100,000\u002Fmm³，而非 150,000。故選 C。","HELLP 是嚴重子癇前症的變異型，屬產科急症。病生理為血管內皮受損、微血管病性溶血（可見破碎紅血球 schistocytes）、肝門靜脈周圍纖維蛋白沉積使肝酵素上升、血小板被消耗。典型症狀為右上腹或上腹痛、噁心嘔吐、不適。處置以穩定母體、控制血壓與適時終止妊娠為原則。",[24,26,29,31],{"term":25,"count":10},"HELLP 症候群",{"term":27,"count":28},"溶血 Hemolysis",1,{"term":30,"count":28},"肝酵素上升 Elevated Liver enzymes",{"term":32,"count":28},"低血小板 Low Platelets",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-023","產婦產後立即性大出血，必須嚴密監測下列何項情況的發生？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-019","有關心臟病婦女妊娠期生活與飲食之注意事項，下列何者正確？",19,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-106-1-maternal-pediatric-063","有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",63,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-021","陰道生產剛結束的婦女若有尿瀦留的現象，最主要的原因為何？",21,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-065","依照衛生福利部疾病管制署 106 年公布之「我國現行兒童預防接種時程」，卡介苗（BCG）之建議接種時間為：",65,108,{"webId":60,"stem":61,"number":41,"year":62,"session":28},"nurse-110-1-maternal-pediatric-019","林女士，陰道分娩後 12 小時，主訴會陰傷口疼痛，下列敘述何者適當？",110,"2026-09-04",1788510762447]