[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-產兒科護理學-023","nurse-114-3-maternal-pediatric-023",114,3,23,"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？",{"A":14,"B":15,"C":16,"D":17},"瀰漫性血管內凝血（DIC）","後天免疫缺乏症候群（AIDS）","妊娠誘發性高血壓（PIH）","子宮內胎兒生長遲緩（IUGR）","A",null,[],"本題考點在於產後立即性大出血的致命併發症監測。大量失血會耗盡凝血因子與血小板，並釋出組織凝血活素而過度活化凝血系統，進而引發瀰漫性血管內凝血（DIC），使出血更難控制，故須嚴密監測，選 A。B 的 AIDS 屬病毒感染造成的免疫缺乏，與急性失血無直接因果；C 的妊娠誘發性高血壓（PIH）是產前血壓問題；D 的子宮內胎兒生長遲緩（IUGR）為胎兒產前生長議題，皆與產後立即大出血的即時風險無關。故選 A。","DIC 是一種消耗性凝血病：先廣泛微血栓形成、繼而因子耗竭導致全身性出血，實驗室可見血小板↓、PT\u002FaPTT 延長、纖維蛋白原↓、D-dimer↑。產科誘因包括產後大出血、胎盤早期剝離、羊水栓塞、死胎滯留與 HELLP。護理監測出血徵象（穿刺點滲血、血尿、瘀斑）與生命徵象，並備血與凝血製品。",[24,27,30,32],{"term":25,"count":26},"瀰漫性血管內凝血 DIC",4,{"term":28,"count":29},"產後大出血",1,{"term":31,"count":29},"凝血因子耗竭",{"term":33,"count":29},"凝血功能監測",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-024","有關子宮頸抹片檢查，下列敘述何者錯誤？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-maternal-pediatric-020","有關胎盤早期剝離的敘述，下列何者正確？",20,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-106-1-maternal-pediatric-064","下列何者不是兒童急性風濕熱會出現的臨床表徵？",64,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-maternal-pediatric-022","有關結紮手術之敘述，下列何者正確？",22,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-maternal-pediatric-066","小冬，5 歲半，是一位初診斷後長期需要類固醇治療的腎病症候群的病童，今年秋天母親提出預防接種的問題，下列何種疫苗適用於小冬？",66,108,{"webId":61,"stem":62,"number":42,"year":63,"session":29},"nurse-110-1-maternal-pediatric-020","邱女士，產後第三天嚴重脹奶，原想採純母乳哺餵，表示：「昨天都還好，今早突然這樣，實在太痛了，我想打退奶針。」下列何項處置最適當？",110,"2026-09-04",1788510762452]